Indiana
Professional Licensing Agency
Baron L. Kidd
Controlled Substance Registration - Physician
License number
01027794B
Date granted
10/31/1985
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
373 Merdian Parke Lane Suite C-1, Greenwood IN 46142
indianalicensing.org
ID 5861470
LAST UPDATED 2024-03-30 03:45:40 UTC
LAST UPDATED 2024-03-30 03:45:40 UTC
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