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 2026-04-27 09:12:10 UTC
LAST UPDATED 2026-04-27 09:12:10 UTC
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