Richard Terril Jacobs
Temporary Medical Doctor Permit
Indiana 99017690A Superceded
This Indiana license was held by Richard Terril Jacobs. The license is no longer active. It was granted on 07/25/2005 and expired on 10/25/2005
LICENSE DETAILS
- License Number: 99017690A
- Category: Temporary MD Permit
- Status: Superceded
- Date Granted: 07/25/2005 (almost 20 years ago)
- Expiry Date: 10/25/2005 (over 19 years ago)
LOCATIONS
A Address
Notre Dame IN 46556