License holder summary

Keith Donald Forwith is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Keith Donald Forwith is Keith Donald Forwith, 3605 North Gate Court, Ste. 204, New Albany IN 47150. This licensed professional license is current. The license was granted 09/06/2001 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Keith Donald Forwith
Controlled Substance Registration - Physician
License number
01054405B
Date granted
09/06/2001
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Keith Donald Forwith, 3605 North Gate Court, Ste. 204, New Albany IN 47150
indianalicensing.org
ID 5903079
LAST UPDATED 2024-04-10 05:06:30 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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