Jerry Dallas Headdy, Jr
Controlled Substance Registration - Physician
Indiana 01039529B Active
This Indiana license is held by Jerry Dallas Headdy, Jr. The license is currently active. It was granted on 07/25/1991 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01039529B
- Category: CSR-Physician
- Status: Active
- Date Granted: 07/25/1991 (almost 35 years ago)
- Expiry Date: 10/31/2015 (over 10 years ago)
LOCATIONS
A Address
482 Landmark Avenue, Bloomington IN 47403
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