License holder summary

Kenneth R. Jefferis is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Kenneth R. Jefferis is 4130 WEST UNIVERSITY AVENUE, MUNCIE IN 47304. This licensed professional license is not current. The license was granted 07/31/1980 and expired on 07/31/1982.

Indiana

Professional Licensing Agency

Kenneth R. Jefferis
Controlled Substance Registration - Physician
License number
01024410B
Date granted
07/31/1980
Date expires
07/31/1982
Class
Controlled Substance Registration - Physician
Status
Expired
Address
4130 WEST UNIVERSITY AVENUE, MUNCIE IN 47304
indianalicensing.org
ID 5898721
LAST UPDATED 2026-04-09 09:33:25 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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