Richard Randall Jacobs
Controlled Substance Registration - Physician
Indiana 01067878B Expired
This Indiana license was held by Richard Randall Jacobs. The license is no longer active. It was granted on 03/03/2010 and expired on 10/31/2013
LICENSE DETAILS
- License Number: 01067878B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 03/03/2010 (over 15 years ago)
- Expiry Date: 10/31/2013 (over 11 years ago)
LOCATIONS
A Address
White River Medical Park, SR 37, Bedford IN 47421