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
LAST UPDATED 2024-03-17 10:31:10 UTC
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