John Paul Jacobs

Controlled Substance Registration - Physician

Indiana  01045864B   Active

This Indiana license is held by John Paul Jacobs. The license is currently active. It was granted on 10/24/1996 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01045864B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 10/24/1996 (over 29 years ago)
  • Expiry Date: 10/31/2015 (over 10 years ago)

LOCATIONS

A Address

1100 Reid Parkway, Suite 115, Richmond IN 47374