License holder summary

Michael Jacoby is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Michael Jacoby is 800 FULTON STREET, LOGANSPORT IN 46947. This licensed professional license is not current. The license was granted 04/02/1990 and expired on 06/30/1993.

Indiana

Professional Licensing Agency

Michael Jacoby
Controlled Substance Registration - Physician
License number
01032469B
Date granted
04/02/1990
Date expires
06/30/1993
Class
Controlled Substance Registration - Physician
Status
Expired
Address
800 FULTON STREET, LOGANSPORT IN 46947
indianalicensing.org
ID 5885385
LAST UPDATED 2024-05-11 19:23:31 UTC

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