Indiana
Professional Licensing Agency
KELLY MC CLEAN
Controlled Substance Registration - Physician
License number
01040376B
Date granted
07/17/1995
Date expires
06/30/1999
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1777 W STONES CROSSING SUITE 4, GREENWOOD IN 46143
indianalicensing.org
ID 5862027
LAST UPDATED 2024-02-17 14:46:23 UTC
LAST UPDATED 2024-02-17 14:46:23 UTC
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