License holder summary

ALTON JACOB BALL is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for ALTON JACOB BALL is G E MOTORS MEDICAL CLINIC BLDG 21, 1635 BROADWAY P O BOX 2204, FORT WAYNE IN 46802. This licensed professional license is not current. The license was granted 06/22/1990 and expired on 06/30/1993.

Indiana

Professional Licensing Agency

ALTON JACOB BALL
Controlled Substance Registration - Physician
License number
01038342B
Date granted
06/22/1990
Date expires
06/30/1993
Class
Controlled Substance Registration - Physician
Status
Expired
Address
G E MOTORS MEDICAL CLINIC BLDG 21, 1635 BROADWAY P O BOX 2204, FORT WAYNE IN 46802
indianalicensing.org
ID 5852928
LAST UPDATED 2023-12-30 20:06:15 UTC

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