Indiana
Professional Licensing Agency
Christopher Wayne Kidwell, Jr.
Controlled Substance Registration - Physician
License number
01067467B
Date granted
05/27/2011
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
., 1001 North Madison Avenue, Greenwood IN 46142
indianalicensing.org
ID 5915772
LAST UPDATED 2024-03-23 13:55:34 UTC
LAST UPDATED 2024-03-23 13:55:34 UTC
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