Indiana
Professional Licensing Agency
JOHN PHILLIP QUAKENBUSH
Controlled Substance Registration - Physician
License number
01020170C
Date granted
09/10/2003
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
MED ONE of St.Jospeh, 5111 Clinton Dr, Kokomo IN 46902
indianalicensing.org
ID 5876395
LAST UPDATED 2024-05-28 16:17:37 UTC
LAST UPDATED 2024-05-28 16:17:37 UTC
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