Jerry L Mackel
Controlled Substance Registration - Physician
Indiana 01023349B Active
This Indiana license is held by Jerry L Mackel. The license is currently active. It was granted on 02/28/1986 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01023349B
- Category: CSR-Physician
- Status: Active
- Date Granted: 02/28/1986 (over 39 years ago)
- Expiry Date: 10/31/2015 (over 9 years ago)
LOCATIONS
A Address
7601 West Jefferson Blvd, P O Box 2526, Fort Wayne IN 46801
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