Indiana
Professional Licensing Agency
Kathryn McGovern Colteryahn
Controlled Substance Registration - Physician
License number
01070966B
Date granted
04/27/2012
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
IUHP Internal Medicine West, 1115 Ronald Reagan Pkwy, Ste 318, Avon IN 46123
indianalicensing.org
ID 5820263
LAST UPDATED 2024-03-07 18:09:58 UTC
LAST UPDATED 2024-03-07 18:09:58 UTC
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