Indiana
Professional Licensing Agency
John Paul Jacobs
Controlled Substance Registration - Physician
License number
01045864B
Date granted
10/24/1996
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1100 Reid Parkway, Suite 115, Richmond IN 47374
indianalicensing.org
ID 5913496
LAST UPDATED 2026-05-28 16:41:33 UTC
LAST UPDATED 2026-05-28 16:41:33 UTC
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