License holder summary

Jason Carlisle Massengill is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Jason Carlisle Massengill is Elkhart General Hospital, 600 East Blvd., Elkhart IN 46514. This licensed professional license is current. The license was granted 12/26/2013 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Jason Carlisle Massengill
Controlled Substance Registration - Physician
License number
01060945B
Date granted
12/26/2013
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Elkhart General Hospital, 600 East Blvd., Elkhart IN 46514
indianalicensing.org
ID 27704157
LAST UPDATED 2024-02-25 20:03:59 UTC

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