License holder summary

Martin Keith Deafenbaugh is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Martin Keith Deafenbaugh is Tipton Hospital, 1000 S. Main Street, Tipton IN 46072. This licensed professional license is current. The license was granted 12/30/2005 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Martin Keith Deafenbaugh
Controlled Substance Registration - Physician
License number
01061605B
Date granted
12/30/2005
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Tipton Hospital, 1000 S. Main Street, Tipton IN 46072
indianalicensing.org
ID 5927276
LAST UPDATED 2024-05-08 22:46:52 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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