Jerold Norman Chip
Controlled Substance Registration - Physician
Indiana 01019735B Expired
This Indiana license was held by Jerold Norman Chip. The license is no longer active. It was granted on 11/30/1984 and expired on 06/30/1999
LICENSE DETAILS
- License Number: 01019735B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 11/30/1984 (over 41 years ago)
- Expiry Date: 06/30/1999 (almost 27 years ago)
LOCATIONS
A Address
7863 BROADWAY #203, MERRILLVILLE IN 46410