License holder summary

JOSE R DEJESUS JR is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for JOSE R DEJESUS JR is 120 WEST WASHINGTON, PLYMOUTH IN 46563. This licensed professional license is not current. The license was granted 10/31/1982 and expired on 06/30/2001.

Indiana

Professional Licensing Agency

JOSE R DEJESUS JR
Controlled Substance Registration - Physician
License number
01022136B
Date granted
10/31/1982
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
120 WEST WASHINGTON, PLYMOUTH IN 46563
indianalicensing.org
ID 5910550
LAST UPDATED 2024-04-18 09:38:44 UTC

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