License holder summary

Jeffrey Jon Quackenbush is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Jeffrey Jon Quackenbush is Northern Indiana Oncology Center, 54 Roosevelt Road, Valparaiso IN 46383. This licensed professional license is current. The license was granted 02/20/2002 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Jeffrey Jon Quackenbush
Controlled Substance Registration - Physician
License number
01055750B
Date granted
02/20/2002
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Northern Indiana Oncology Center, 54 Roosevelt Road, Valparaiso IN 46383
indianalicensing.org
ID 5928772
LAST UPDATED 2024-02-13 05:21:19 UTC

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