Derrick Darrell Jeter
Controlled Substance Registration - Physician
Indiana 01041204B Expired
This Indiana license was held by Derrick Darrell Jeter. The license is no longer active. It was granted on 03/25/1993 and expired on 06/30/2003
LICENSE DETAILS
- License Number: 01041204B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 03/25/1993 (about 32 years ago)
- Expiry Date: 06/30/2003 (almost 22 years ago)
LOCATIONS
A Address
801 West Glen Park Avenue, Griffith IN 46319