Indiana
Professional Licensing Agency
Kim Colleen Landis
Controlled Substance Registration - Physician
License number
01041855B
Date granted
03/17/1994
Date expires
06/30/1995
Class
Controlled Substance Registration - Physician
Status
Expired
Address
MC CRAY MEMORIAL HOSPITAL, 951 E HOSPITAL DR BOX 249, KENDALLVILLE IN 46755
indianalicensing.org
ID 5874966
LAST UPDATED 2024-04-18 08:11:58 UTC
LAST UPDATED 2024-04-18 08:11:58 UTC
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