License holder summary

Kelly John Warren is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Kelly John Warren is Madison Dermatology, 122 Demaree Drive, Madison IN 47250. This licensed professional license is not current. The license was granted 01/30/2002 and expired on 06/30/2005.

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

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