License holder summary

Jerry Edward Douglas is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Jerry Edward Douglas is Medical Associates of Delphi, 651 Armory Road, Delphi IN 46923. This licensed professional license is not current. The license was granted 02/21/2003 and expired on 06/30/2003.

Indiana

Professional Licensing Agency

Jerry Edward Douglas
Controlled Substance Registration - Physician
License number
01032101C
Date granted
02/21/2003
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Medical Associates of Delphi, 651 Armory Road, Delphi IN 46923
indianalicensing.org
ID 5843504
LAST UPDATED 2024-03-27 08:22:22 UTC

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