Indiana
Professional Licensing Agency
Clinton LeRoy Kauffman
Controlled Substance Registration - Physician
License number
01057944B
Date granted
07/31/2003
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
2418 North Curtis Drive, Suite A, Winamac IN 46996
indianalicensing.org
ID 5935745
LAST UPDATED 2024-03-22 05:57:56 UTC
LAST UPDATED 2024-03-22 05:57:56 UTC
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