License holder summary

Jeffrey Demont Breckenridge is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Jeffrey Demont Breckenridge is 1618 W Parkview Dr, MARION IN 46952. This licensed professional license is current. The license was granted 07/25/1996 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Jeffrey Demont Breckenridge
Controlled Substance Registration - Physician
License number
01045525B
Date granted
07/25/1996
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1618 W Parkview Dr, MARION IN 46952
indianalicensing.org
ID 5888180
LAST UPDATED 2024-03-21 05:33:11 UTC

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