License holder summary

BRIAN DAVID JENKINS is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for BRIAN DAVID JENKINS is PREFERRED ANESTHESIA CONSULTANTS, 1818 CAREW STREET #220, FORT WAYNE IN 46805. This licensed professional license is current. The license was granted 11/17/1992 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

BRIAN DAVID JENKINS
Controlled Substance Registration - Physician
License number
01040832B
Date granted
11/17/1992
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
PREFERRED ANESTHESIA CONSULTANTS, 1818 CAREW STREET #220, FORT WAYNE IN 46805
indianalicensing.org
ID 5852994
LAST UPDATED 2024-04-30 10:17:14 UTC

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