Indiana
Professional Licensing Agency
KATHLEEN MARY NEILON
Controlled Substance Registration-Osteopathic Physician
License number
02001773B
Date granted
08/29/1996
Date expires
06/30/2001
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
8OO BROADWAY SUITE 110, FORT WAYNE IN 46802
indianalicensing.org
ID 5800554
LAST UPDATED 2024-03-21 13:26:49 UTC
LAST UPDATED 2024-03-21 13:26:49 UTC
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