Indiana
Professional Licensing Agency
Phillip M. Jacobs
Controlled Substance Registration - Physician
License number
01038869B
Date granted
04/04/1996
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Dearborn Co. Hospital, 600 Wilson Creek Road, Lawrenceburg IN 47025
indianalicensing.org
ID 5883083
LAST UPDATED 2024-05-07 07:43:02 UTC
LAST UPDATED 2024-05-07 07:43:02 UTC
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