License holder summary

Charles Joseph Leiphart is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Charles Joseph Leiphart is 400 N. Brentwood Ln., Muncie IN 47304. This licensed professional license is not current. The license was granted 07/17/1986 and expired on 10/31/2013.

Indiana

Professional Licensing Agency

Charles Joseph Leiphart
Controlled Substance Registration - Physician
License number
01024700B
Date granted
07/17/1986
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
400 N. Brentwood Ln., Muncie IN 47304
indianalicensing.org
ID 5897795
LAST UPDATED 2024-04-29 08:27:53 UTC

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