Indiana
Professional Licensing Agency
John Wayne Kennedy
Controlled Substance Registration - Physician
License number
01022780B
Date granted
05/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Marion Occupational Medicine, 707 N River Drive, Marion IN 46952
indianalicensing.org
ID 5888217
LAST UPDATED 2024-04-10 18:23:13 UTC
LAST UPDATED 2024-04-10 18:23:13 UTC
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