Indiana
Professional Licensing Agency
Carleton Allen Keck
Controlled Substance Registration - Physician
License number
01014334B
Date granted
05/31/1985
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Expired
Address
7130 BLUE CREEK DRIVE, FORT WAYNE IN 46804
indianalicensing.org
ID 5853056
LAST UPDATED 2024-03-27 23:36:40 UTC
LAST UPDATED 2024-03-27 23:36:40 UTC
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