Jerry Edward Douglas
Controlled Substance Registration - Physician
Indiana 01032101C Expired
This Indiana license was held by Jerry Edward Douglas. The license is no longer active. It was granted on 02/21/2003 and expired on 06/30/2003
LICENSE DETAILS
- License Number: 01032101C
- Category: CSR-Physician
- Status: Expired
- Date Granted: 02/21/2003 (over 23 years ago)
- Expiry Date: 06/30/2003 (about 23 years ago)
LOCATIONS
A Address
Medical Associates of Delphi, 651 Armory Road, Delphi IN 46923