License holder summary

CHARLES KEALLY LIDDELL is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for CHARLES KEALLY LIDDELL is MEDICAL GROUP OF MICH, CITY IN, 1225 EAST COOLSPRING AVE, MICHIGAN CITY IN 46360. This licensed professional license is not current. The license was granted 05/31/1986 and expired on 06/30/1997.

Indiana

Professional Licensing Agency

CHARLES KEALLY LIDDELL
Controlled Substance Registration - Physician
License number
01017852B
Date granted
05/31/1986
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Expired
Address
MEDICAL GROUP OF MICH, CITY IN, 1225 EAST COOLSPRING AVE, MICHIGAN CITY IN 46360
indianalicensing.org
ID 5892341
LAST UPDATED 2024-04-13 17:08:47 UTC

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