License holder summary

Jeffrey Alan Dedelow is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Jeffrey Alan Dedelow is Good Samaritan Hospital, 520 South 7th Street, Vincennes IN 47591. This licensed professional license is current. The license was granted 02/17/2011 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Jeffrey Alan Dedelow
Controlled Substance Registration - Physician
License number
01069197B
Date granted
02/17/2011
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Good Samaritan Hospital, 520 South 7th Street, Vincennes IN 47591
indianalicensing.org
ID 5930901
LAST UPDATED 2024-04-04 16:16:00 UTC

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