License holder summary

Kenneth Deylen Davis is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Kenneth Deylen Davis is 611 Harriet St., PO Box 5709, Suite 407, Evansville IN 47716-5709. This licensed professional license is current. The license was granted 06/30/1986 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Kenneth Deylen Davis
Controlled Substance Registration - Physician
License number
01020989B
Date granted
06/30/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
611 Harriet St., PO Box 5709, Suite 407, Evansville IN 47716-5709
indianalicensing.org
ID 5850416
LAST UPDATED 2024-04-17 09:48:51 UTC

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