Jerick Carbonell Pacheco
Controlled Substance Registration - Physician
Indiana 01063831B Active
This Indiana license is held by Jerick Carbonell Pacheco. The license is currently active. It was granted on 07/17/2007 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01063831B
- Category: CSR-Physician
- Status: Active
- Date Granted: 07/17/2007 (almost 18 years ago)
- Expiry Date: 10/31/2015 (over 9 years ago)
LOCATIONS
A Address
528 N 1st, Vincennes IN 47591
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