License holder summary

Agnes Kenny is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Agnes Kenny is 1000 NORTH BROADWAY, PERU IN 46970. This licensed professional license is current. The license was granted 06/30/1986 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Agnes Kenny
Controlled Substance Registration - Physician
License number
01031072B
Date granted
06/30/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1000 NORTH BROADWAY, PERU IN 46970
indianalicensing.org
ID 5909333
LAST UPDATED 2024-03-05 20:16:05 UTC

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