License holder summary

Jack Charles Siebe is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Jack Charles Siebe is 9745 Olympia Drive, Apt 209, Bloomfield IN 47424. This licensed professional license is not current. The license was granted 07/31/1986 and expired on 06/30/2007.

Indiana

Professional Licensing Agency

Jack Charles Siebe
Controlled Substance Registration - Physician
License number
01017772B
Date granted
07/31/1986
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
9745 Olympia Drive, Apt 209, Bloomfield IN 47424
indianalicensing.org
ID 5823627
LAST UPDATED 2024-04-11 23:30:36 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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