Indiana
Professional Licensing Agency
Julie Kathryn Keck
Controlled Substance Registration - Physician
License number
01058197B
Date granted
10/09/2003
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
19973 Victory Chapel Rd., Noblesville IN 46060
indianalicensing.org
ID 11959015
LAST UPDATED 2024-05-01 13:45:47 UTC
LAST UPDATED 2024-05-01 13:45:47 UTC
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