License holder summary

E JON BRANDENBERGER is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for E JON BRANDENBERGER is 1515 HOBSON RD, FORT WAYNE IN 46805. This licensed professional license is current. The license was granted 10/31/1985 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

E JON BRANDENBERGER
Controlled Substance Registration - Physician
License number
01028550B
Date granted
10/31/1985
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1515 HOBSON RD, FORT WAYNE IN 46805
indianalicensing.org
ID 5853271
LAST UPDATED 2024-03-09 06:49:11 UTC

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