License holder summary

John T. Geneczko, Jr. is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for John T. Geneczko, Jr. is 2600 GREENBUSH STREET, LAFAYETTE IN 47904. This licensed professional license is not current. The license was granted 07/27/1987 and expired on 10/31/2013.

Indiana

Professional Licensing Agency

John T. Geneczko, Jr.
Controlled Substance Registration - Physician
License number
01036161B
Date granted
07/27/1987
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
2600 GREENBUSH STREET, LAFAYETTE IN 47904
indianalicensing.org
ID 5879968
LAST UPDATED 2024-03-30 19:03:01 UTC

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