License holder summary

JEFFREY A IVANOFF is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for JEFFREY A IVANOFF is KOALA HOSPITAL, 1800 N OAK RD P O BOX 638, PLYMOUTH IN 46563. This licensed professional license is not current. The license was granted 05/13/1993 and expired on 06/30/1995.

Indiana

Professional Licensing Agency

JEFFREY A IVANOFF
Controlled Substance Registration - Physician
License number
01040917B
Date granted
05/13/1993
Date expires
06/30/1995
Class
Controlled Substance Registration - Physician
Status
Expired
Address
KOALA HOSPITAL, 1800 N OAK RD P O BOX 638, PLYMOUTH IN 46563
indianalicensing.org
ID 5910547
LAST UPDATED 2026-05-17 01:59:50 UTC

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