License holder summary

Brent Robert Mc Intosh is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Brent Robert Mc Intosh is 1300 W Jefferson St., Ste C, Franklin IN 46131. This licensed professional license is current. The license was granted 08/03/1992 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Brent Robert Mc Intosh
Controlled Substance Registration - Physician
License number
01040646B
Date granted
08/03/1992
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1300 W Jefferson St., Ste C, Franklin IN 46131
indianalicensing.org
ID 5855350
LAST UPDATED 2024-04-19 07:51:21 UTC

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