Indiana
Professional Licensing Agency
Kelly John Warren
Controlled Substance Registration - Physician
License number
01055397B
Date granted
01/30/2002
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Madison Dermatology, 122 Demaree Drive, Madison IN 47250
indianalicensing.org
ID 5886849
LAST UPDATED 2024-03-24 13:45:28 UTC
LAST UPDATED 2024-03-24 13:45:28 UTC
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