License holder summary

Jerry M. Jesseph is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Jerry M. Jesseph is 901 W. First Street, Bloomington IN 47403. This licensed professional license is current. The license was granted 06/30/1984 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Jerry M. Jesseph
Controlled Substance Registration - Physician
License number
01030317B
Date granted
06/30/1984
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
901 W. First Street, Bloomington IN 47403
indianalicensing.org
ID 5824781
LAST UPDATED 2024-02-22 14:30:38 UTC

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