License holder summary

Jerry Padpad Co is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Jerry Padpad Co is Grant Blackford Mental Health Inc., 505 Wabash Avenue, Marion IN 46952. This licensed professional license is not current. The license was granted 10/26/2000 and expired on 06/30/2005.

Indiana

Professional Licensing Agency

Jerry Padpad Co
Controlled Substance Registration - Physician
License number
01053020B
Date granted
10/26/2000
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Grant Blackford Mental Health Inc., 505 Wabash Avenue, Marion IN 46952
indianalicensing.org
ID 5888187
LAST UPDATED 2026-03-28 02:46:30 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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