License holder summary

Jefferson Monroe Qualls is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Jefferson Monroe Qualls is 1125 W Jefferson Street, Franklin IN 46131. This licensed professional license is current. The license was granted 08/01/1989 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Jefferson Monroe Qualls
Controlled Substance Registration - Physician
License number
01037759B
Date granted
08/01/1989
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1125 W Jefferson Street, Franklin IN 46131
indianalicensing.org
ID 5820859
LAST UPDATED 2024-04-04 14:41:59 UTC

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