Indiana
Professional Licensing Agency
John David Keen
Controlled Substance Registration - Physician
License number
01044078C
Date granted
05/15/2007
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Lafayette Radiology, LLC, 2400 South Street attn: J. Flynn, Lafayette IN 47904
indianalicensing.org
ID 5879815
LAST UPDATED 2024-02-17 10:14:09 UTC
LAST UPDATED 2024-02-17 10:14:09 UTC
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