DERRICK D JETER M D P C
Medical Licensing Board - Medical Corporation
Indiana 50004075A Expired
This Indiana license was held by DERRICK D JETER M D P C. The license is no longer active. It was granted on 08/05/1998 and expired on 01/31/2004
LICENSE DETAILS
- License Number: 50004075A
- Category: Medical Corporation
- Status: Expired
- Date Granted: 08/05/1998 (almost 27 years ago)
- Expiry Date: 01/31/2004 (over 21 years ago)
LOCATIONS
A Address
9108 COLUMBIA AVENUE, MUNSTER IN 46321