License holder summary

Reynolds B Brissenden is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Reynolds B Brissenden is Memorial Hospital (IMED), 939 Memorial Drive, Jasper IN 47546. This licensed professional license is not current. The license was granted 03/22/2011 and expired on 10/31/2013.

Indiana

Professional Licensing Agency

Reynolds B Brissenden
Controlled Substance Registration - Physician
License number
01022544D
Date granted
03/22/2011
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Memorial Hospital (IMED), 939 Memorial Drive, Jasper IN 47546
indianalicensing.org
ID 5872034
LAST UPDATED 2024-03-08 02:29:46 UTC

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