Indiana
Professional Licensing Agency
Debra Kay McKenzie
Controlled Substance Registration - Physician
License number
01046734B
Date granted
05/22/1997
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
501 Hospital Lane Suite 107, Terre Haute IN 47802
indianalicensing.org
ID 5924974
LAST UPDATED 2024-03-27 07:59:20 UTC
LAST UPDATED 2024-03-27 07:59:20 UTC
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