License holder summary

KEITH ALAN GINGERICH is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for KEITH ALAN GINGERICH is 203 MONROE STREET, Valparaiso IN 46383. This licensed professional license is current. The license was granted 09/28/1990 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

KEITH ALAN GINGERICH
Controlled Substance Registration - Physician
License number
01038826B
Date granted
09/28/1990
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
203 MONROE STREET, Valparaiso IN 46383
indianalicensing.org
ID 5928969
LAST UPDATED 2024-02-06 15:34:16 UTC

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