Indiana
Professional Licensing Agency
William P. Kennerly
Controlled Substance Registration - Physician
License number
01027793C
Date granted
02/22/2013
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Kings Daughters Medical, 112 Presbyterian Avenue, Madison IN 47250
indianalicensing.org
ID 5887628
LAST UPDATED 2024-04-26 14:08:12 UTC
LAST UPDATED 2024-04-26 14:08:12 UTC
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