Indiana
Professional Licensing Agency
Jason Konrad King
Controlled Substance Registration - Physician
License number
01043977B
Date granted
08/05/1999
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1100 Southfield Drive, Ste 1210, Plainfield IN 46168
indianalicensing.org
ID 5910044
LAST UPDATED 2024-03-26 21:48:36 UTC
LAST UPDATED 2024-03-26 21:48:36 UTC
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