License holder summary

Keith Bryan Danckaert is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Keith Bryan Danckaert is 10620 Corporate Drive, Suite A, Fort Wayne IN 46845. This licensed professional license is current. The license was granted 04/21/1994 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Keith Bryan Danckaert
Controlled Substance Registration - Physician
License number
01042415B
Date granted
04/21/1994
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
10620 Corporate Drive, Suite A, Fort Wayne IN 46845
indianalicensing.org
ID 5853822
LAST UPDATED 2024-03-29 19:35:51 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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