Jerold Norman Chip
Controlled Substance Registration - Physician
Indiana 01019735C Expired
This Indiana license was held by Jerold Norman Chip. The license is no longer active. It was granted on 04/30/1985 and expired on 04/30/1986
LICENSE DETAILS
- License Number: 01019735C
- Category: CSR-Physician
- Status: Expired
- Date Granted: 04/30/1985 (about 41 years ago)
- Expiry Date: 04/30/1986 (about 40 years ago)
LOCATIONS
A Address
7863 BROADWAY, SUITE 203, MERRILLVILLE IN 46410