Indiana
Professional Licensing Agency
Fred Merrill Kuipers
Controlled Substance Registration - Physician
License number
01018357B
Date granted
05/31/1986
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1310 EAST 500 NORTH, WEST LAFAYETTE IN 47906
indianalicensing.org
ID 5934014
LAST UPDATED 2024-04-03 14:11:36 UTC
LAST UPDATED 2024-04-03 14:11:36 UTC
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