License holder summary

Jeffrey Brian McIntosh is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Jeffrey Brian McIntosh is 2600 FERRY STREET, LAFAYETTE IN 47904. This licensed professional license is not current. The license was granted 08/01/1990 and expired on 06/30/2011.

Indiana

Professional Licensing Agency

Jeffrey Brian McIntosh
Controlled Substance Registration - Physician
License number
01038642B
Date granted
08/01/1990
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
2600 FERRY STREET, LAFAYETTE IN 47904
indianalicensing.org
ID 5879729
LAST UPDATED 2024-03-31 19:46:43 UTC

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