Richard Terril Jacobs

Controlled Substance Registration - Physician

Indiana  01061362B   Expired

This Indiana license was held by Richard Terril Jacobs. The license is no longer active. It was granted on 11/24/2008 and expired on 06/30/2011

LICENSE DETAILS

  • License Number: 01061362B
  • Category: CSR-Physician
  • Status: Expired
  • Date Granted: 11/24/2008 (over 17 years ago)
  • Expiry Date: 06/30/2011 (almost 15 years ago)

LOCATIONS

A Address

University Health Services/ Athletic Department, 134 St Liam Hall, Notre Dame IN 46556