JERRY MAYNE WEIDA
Controlled Substance Registration - Physician
Indiana 01020537B Active
This Indiana license is held by JERRY MAYNE WEIDA. The license is currently active. It was granted on 02/28/1986 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01020537B
- Category: CSR-Physician
- Status: Active
- Date Granted: 02/28/1986 (over 40 years ago)
- Expiry Date: 10/31/2015 (almost 11 years ago)
LOCATIONS
A Address
3005 GREENBUSH STREET, LAFAYETTE IN 47904
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