License holder summary

Keith Eldon Ashbaugh is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Keith Eldon Ashbaugh is 2414 E STATE BLVD, FORT WAYNE IN 46805. This licensed professional license is not current. The license was granted 09/30/1984 and expired on 09/30/1984.

Indiana

Professional Licensing Agency

Keith Eldon Ashbaugh
Controlled Substance Registration - Physician
License number
01031119B
Date granted
09/30/1984
Date expires
09/30/1984
Class
Controlled Substance Registration - Physician
Status
Expired
Address
2414 E STATE BLVD, FORT WAYNE IN 46805
indianalicensing.org
ID 5853824
LAST UPDATED 2024-03-25 10:08:18 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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