License holder summary

Gerald T. Kitchens 11 is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Gerald T. Kitchens 11 is WITHAM MEMORIAL HOSPITAL, 1124 N LEBANON ST, LEBANON IN 46052. This licensed professional license is not current. The license was granted 03/08/2000 and expired on 06/30/2003.

Indiana

Professional Licensing Agency

Gerald T. Kitchens 11
Controlled Substance Registration - Physician
License number
01051645C
Date granted
03/08/2000
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
WITHAM MEMORIAL HOSPITAL, 1124 N LEBANON ST, LEBANON IN 46052
indianalicensing.org
ID 5883744
LAST UPDATED 2024-03-04 16:50:49 UTC

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