License holder summary

DALTON L KINSELLA JR is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for DALTON L KINSELLA JR is PHYSICIANS CLINICAL LABORATORY, 2500 FERRY STREET, LAFAYETTE IN 47904. This licensed professional license is not current. The license was granted 06/04/1980 and expired on 06/30/1982.

Indiana

Professional Licensing Agency

DALTON L KINSELLA JR
Controlled Substance Registration - Physician
License number
01029979B
Date granted
06/04/1980
Date expires
06/30/1982
Class
Controlled Substance Registration - Physician
Status
Expired
Address
PHYSICIANS CLINICAL LABORATORY, 2500 FERRY STREET, LAFAYETTE IN 47904
indianalicensing.org
ID 5879011
LAST UPDATED 2024-03-21 12:37:12 UTC

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