Indiana
Professional Licensing Agency
Antigoni Kencos
Controlled Substance Registration - Physician
License number
01031586B
Date granted
06/06/1988
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
ST ANTHONY HOSPITAL, MAIN AND FRANCISCAN ROAD, CROWN POINT IN 46307
indianalicensing.org
ID 5840747
LAST UPDATED 2024-02-13 23:39:55 UTC
LAST UPDATED 2024-02-13 23:39:55 UTC
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