JEFFREY JAMES FREEMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

JAMES

Last Name

FREEMAN

Suffix

Business Name

JEFFREY JAMES FREEMAN MD

Original Issue Date

06/09/2010

Effective Date

06/27/2011

Expiration Date

07/31/2014

City

FORT WAYNE

State

Zip

46804

County

INDIANA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2014