Indiana
Professional Licensing Agency
Jeffrey Alan Kidd
Controlled Substance Registration - Physician
License number
01055839B
Date granted
03/19/2002
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Replace Med Inc., 2910 Lake Shore Drive, Michigan City IN 46360
indianalicensing.org
ID 5892792
LAST UPDATED 2024-03-22 14:20:20 UTC
LAST UPDATED 2024-03-22 14:20:20 UTC
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