License holder summary

Keith Allen Phillips is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Keith Allen Phillips is St Mary's Warrick Hospital, 1116 Millis Avenue, P O Box 629, Boonville IN 47601. This licensed professional license is not current. The license was granted 03/10/2009 and expired on 10/31/2013.

Indiana

Professional Licensing Agency

Keith Allen Phillips
Controlled Substance Registration - Physician
License number
01031573C
Date granted
03/10/2009
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
St Mary's Warrick Hospital, 1116 Millis Avenue, P O Box 629, Boonville IN 47601
indianalicensing.org
ID 5827308
LAST UPDATED 2024-03-25 16:16:14 UTC

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