Indiana
Professional Licensing Agency
Steven E. Jacobs
Controlled Substance Registration-Physician Assistant
License number
10000243B
Date granted
12/07/2007
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Indiana University Health Center, 600 North Jordan Avenue, Bloomington IN 47405
indianalicensing.org
ID 8385860
LAST UPDATED 2024-02-19 18:24:44 UTC
LAST UPDATED 2024-02-19 18:24:44 UTC
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