License holder summary

JENNIFER ELLEN TRIBBLE is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for JENNIFER ELLEN TRIBBLE is DR JOHN MAESAKA, 15730 COUNTY ROAD 28, Goshen IN 46528. This licensed professional license is not current. The license was granted 05/12/2000 and expired on 06/30/2001.

Indiana

Professional Licensing Agency

JENNIFER ELLEN TRIBBLE
Controlled Substance Registration - Physician
License number
01047364B
Date granted
05/12/2000
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
DR JOHN MAESAKA, 15730 COUNTY ROAD 28, Goshen IN 46528
indianalicensing.org
ID 5858711
LAST UPDATED 2024-03-07 23:38:31 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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