License holder summary

Karen Kay Clark is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Karen Kay Clark is 2800 Ferry St., Lafayette IN 47904. This licensed professional license is not current. The license was granted 04/28/2004 and expired on 06/30/2005.

Indiana

Professional Licensing Agency

Karen Kay Clark
Controlled Substance Registration - Physician
License number
01048900C
Date granted
04/28/2004
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
2800 Ferry St., Lafayette IN 47904
indianalicensing.org
ID 5880052
LAST UPDATED 2024-03-05 23:32:16 UTC

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