Indiana
Professional Licensing Agency
Walter P Jacobsen
Controlled Substance Registration-Osteopathic Physician
License number
02004152B
Date granted
02/06/2013
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Allied Physicians Inc, 7956 W Jefferson Blvd, Fort Wayne IN 46804
indianalicensing.org
ID 5800921
LAST UPDATED 2024-02-17 03:04:53 UTC
LAST UPDATED 2024-02-17 03:04:53 UTC
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