Jay Paul

Controlled Substance Registration - Physician

Indiana  01065851B   Expired

This Indiana license was held by Jay Paul. The license is no longer active. It was granted on 09/17/2008 and expired on 06/30/2009

LICENSE DETAILS

  • License Number: 01065851B
  • Category: CSR-Physician
  • Status: Expired
  • Date Granted: 09/17/2008 (over 15 years ago)
  • Expiry Date: 06/30/2009 (almost 15 years ago)

LOCATIONS

A Address

Elkhart Clinic- Attn: Anne Mattei, 303 S Nappanee Street, Elkhart IN 46515