License holder summary

Kathryn B Carboneau is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Kathryn B Carboneau is 11115 Pine Bank Court, Fort Wayne IN 46845. This licensed professional license is not current. The license was granted 07/03/1986 and expired on 06/30/2005.

Indiana

Professional Licensing Agency

Kathryn B Carboneau
Controlled Substance Registration - Physician
License number
01035262B
Date granted
07/03/1986
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
11115 Pine Bank Court, Fort Wayne IN 46845
indianalicensing.org
ID 5853818
LAST UPDATED 2026-04-30 08:09:20 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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