License holder summary

DAVID KEITH POWELL is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for DAVID KEITH POWELL is Fort Wayne Radiology Association LLC, 3707 New Vision Dr. P.O. Box 5602, Fort Wayne IN 46895-5602. This licensed professional license is current. The license was granted 09/13/1989 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

DAVID KEITH POWELL
Controlled Substance Registration - Physician
License number
01037906B
Date granted
09/13/1989
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Fort Wayne Radiology Association LLC, 3707 New Vision Dr. P.O. Box 5602, Fort Wayne IN 46895-5602
indianalicensing.org
ID 5853248
LAST UPDATED 2024-03-01 23:45:24 UTC

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