David Russell Jacobson
Controlled Substance Registration - Physician
Indiana 01037161B Expired
This Indiana license was held by David Russell Jacobson. The license is no longer active. It was granted on 11/18/1988 and expired on 06/30/1993
LICENSE DETAILS
- License Number: 01037161B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 11/18/1988 (over 36 years ago)
- Expiry Date: 06/30/1993 (almost 32 years ago)
LOCATIONS
A Address
66748 COUNTY ROAD 13, GOSHEN IN 46526