Indiana
Professional Licensing Agency
THOMAS DARRELL JAQUES
Controlled Substance Registration - Podiatrist
License number
07000718B
Date granted
10/31/1990
Date expires
06/30/1993
Class
Controlled Substance Registration - Podiatrist
Status
Expired
Address
MERRILLVILLE SURGICAL CENTER, 6111 HARRISON STREET, MERRILLVILLE IN 46410
indianalicensing.org
ID 8431333
LAST UPDATED 2024-02-21 00:27:25 UTC
LAST UPDATED 2024-02-21 00:27:25 UTC
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