Jeffrey Brian McIntosh
Controlled Substance Registration - Physician
Indiana 01038642B Expired
This Indiana license was held by Jeffrey Brian McIntosh. The license is no longer active. It was granted on 08/01/1990 and expired on 06/30/2011
LICENSE DETAILS
- License Number: 01038642B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 08/01/1990 (about 36 years ago)
- Expiry Date: 06/30/2011 (about 15 years ago)
LOCATIONS
A Address
2600 FERRY STREET, LAFAYETTE IN 47904