Indiana
Professional Licensing Agency
Janice Kunkel
Controlled Substance Registration - Physician
License number
01058586B
Date granted
04/23/2004
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
6085 Heartland Drive, Suite 208, Zionsville IN 46077
indianalicensing.org
ID 5936793
LAST UPDATED 2024-04-16 03:51:59 UTC
LAST UPDATED 2024-04-16 03:51:59 UTC
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