License holder summary

Kurtis James DeJong is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Kurtis James DeJong is 52415 WYNBROOKE COURT, GRANGER IN 46530. This licensed professional license is current. The license was granted 08/22/1991 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Kurtis James DeJong
Controlled Substance Registration - Physician
License number
01039621B
Date granted
08/22/1991
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
52415 WYNBROOKE COURT, GRANGER IN 46530
indianalicensing.org
ID 5859546
LAST UPDATED 2024-02-18 21:23:19 UTC

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