License holder summary

JEFFERY C HAGEDORN is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for JEFFERY C HAGEDORN is P O BOX 2547, 1655 GLADSTONE AVENUE # C, COLUMBUS IN 47202. This licensed professional license is current. The license was granted 05/31/1986 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

JEFFERY C HAGEDORN
Controlled Substance Registration - Physician
License number
01028132B
Date granted
05/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
P O BOX 2547, 1655 GLADSTONE AVENUE # C, COLUMBUS IN 47202
indianalicensing.org
ID 5836484
LAST UPDATED 2024-04-05 13:37:27 UTC

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