Michael Jacoby
Controlled Substance Registration - Physician
Indiana 01032469B Expired
This Indiana license was held by Michael Jacoby. The license is no longer active. It was granted on 04/02/1990 and expired on 06/30/1993
LICENSE DETAILS
- License Number: 01032469B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 04/02/1990 (about 35 years ago)
- Expiry Date: 06/30/1993 (almost 32 years ago)
LOCATIONS
A Address
800 FULTON STREET, LOGANSPORT IN 46947