License holder summary

Kathy Sands Clark is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Kathy Sands Clark is 3733 SHAFER CIRCLE, CARMEL IN 46032. This licensed professional license is not current. The license was granted 01/11/1991 and expired on 06/30/1995.

Indiana

Professional Licensing Agency

Kathy Sands Clark
Controlled Substance Registration - Physician
License number
01036050C
Date granted
01/11/1991
Date expires
06/30/1995
Class
Controlled Substance Registration - Physician
Status
Expired
Address
3733 SHAFER CIRCLE, CARMEL IN 46032
indianalicensing.org
ID 5831061
LAST UPDATED 2024-03-02 15:59:15 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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