Miguel Jaime Jacobo
Controlled Substance Registration - Physician
Indiana 01020560B Expired
This Indiana license was held by Miguel Jaime Jacobo. The license is no longer active. It was granted on 07/31/1986 and expired on 06/30/1999
LICENSE DETAILS
- License Number: 01020560B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 07/31/1986 (almost 38 years ago)
- Expiry Date: 06/30/1999 (about 25 years ago)
LOCATIONS
A Address
800 MAC ARTHUR BLVD #12 A, MUNSTER IN 46321