Indiana
Professional Licensing Agency
Kenya S. Everette
Controlled Substance Registration - Physician
License number
01050551B
Date granted
05/06/1999
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
201 North Griffith Blvd., Griffith IN 46319
indianalicensing.org
ID 5862926
LAST UPDATED 2024-05-05 17:32:57 UTC
LAST UPDATED 2024-05-05 17:32:57 UTC
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