Indiana
Professional Licensing Agency
Miguel Jaime Jacobo
Controlled Substance Registration - Physician
License number
01020560B
Date granted
07/31/1986
Date expires
06/30/1999
Class
Controlled Substance Registration - Physician
Status
Expired
Address
800 MAC ARTHUR BLVD #12 A, MUNSTER IN 46321
indianalicensing.org
ID 5901049
LAST UPDATED 2024-05-05 23:40:55 UTC
LAST UPDATED 2024-05-05 23:40:55 UTC
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