Indiana
Professional Licensing Agency
Karen June Jacobs
Controlled Substance Registration-Osteopathic Physician
License number
02002238B
Date granted
10/03/2000
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
UROLOGY INC, 330 NORTH WABASH AVENUE SUITE 350, Marion IN 46952
indianalicensing.org
ID 5808310
LAST UPDATED 2024-03-18 12:16:28 UTC
LAST UPDATED 2024-03-18 12:16:28 UTC
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