Indiana
Professional Licensing Agency
Jack Leslie Kelley
Controlled Substance Registration - Physician
License number
01022437B
Date granted
05/31/1986
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1500 Salem Street, Lafayette IN 47904
indianalicensing.org
ID 5879603
LAST UPDATED 2024-03-29 06:23:58 UTC
LAST UPDATED 2024-03-29 06:23:58 UTC
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