License holder summary

Crystal Denise Kelly is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Crystal Denise Kelly is St. Joseph Hospital - attn: peggy martelli, 1907 West Sycamore Street, Kokomo IN 46901. This licensed professional license is not current. The license was granted 07/16/2002 and expired on 06/30/2011.

Indiana

Professional Licensing Agency

Crystal Denise Kelly
Controlled Substance Registration - Physician
License number
01055817B
Date granted
07/16/2002
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
St. Joseph Hospital - attn: peggy martelli, 1907 West Sycamore Street, Kokomo IN 46901
indianalicensing.org
ID 5875804
LAST UPDATED 2024-03-17 10:31:10 UTC

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