Indiana
Professional Licensing Agency
Deborah Suzanne Kinnamon
Controlled Substance Registration - Physician
License number
01052369B
Date granted
06/14/2000
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
820 North Samuel Moore Parkway, Suite# C, Mooresville IN 46158
indianalicensing.org
ID 5896913
LAST UPDATED 2024-02-24 10:48:32 UTC
LAST UPDATED 2024-02-24 10:48:32 UTC
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