Indiana
Professional Licensing Agency
MARK DAVID JACOBI
Controlled Substance Registration - Physician
License number
01027648B
Date granted
08/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1225 E COOLSPRING AVE, MICHIGAN CITY IN 46360
indianalicensing.org
ID 5893110
LAST UPDATED 2026-03-26 00:56:25 UTC
LAST UPDATED 2026-03-26 00:56:25 UTC
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