Stacey L. Jacobs

Apn Prescriptive Authority

Indiana  71004631A   Active

This Indiana license is held by Stacey L. Jacobs. The license is currently active. It was granted on 09/16/2013 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 71004631A
  • Category: APN Prescriptive Authority
  • Status: Active
  • Date Granted: 09/16/2013 (over 12 years ago)
  • Expiry Date: 10/31/2015 (over 10 years ago)

LOCATIONS

A Address

New Albany IN 47150