License holder summary

JOHN PHILLIP QUAKENBUSH is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for JOHN PHILLIP QUAKENBUSH is MED ONE of St.Jospeh, 5111 Clinton Dr, Kokomo IN 46902. This licensed professional license is not current. The license was granted 09/10/2003 and expired on 06/30/2007.

Indiana

Professional Licensing Agency

JOHN PHILLIP QUAKENBUSH
Controlled Substance Registration - Physician
License number
01020170C
Date granted
09/10/2003
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
MED ONE of St.Jospeh, 5111 Clinton Dr, Kokomo IN 46902
indianalicensing.org
ID 5876395
LAST UPDATED 2024-04-11 17:10:44 UTC

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