Indiana
Professional Licensing Agency
Keith Edward Ennis
Controlled Substance Registration - Physician
License number
01040472B
Date granted
07/01/1992
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
AMERICAN HEALTH NETWORK, 2330 SOUTH DIXON ROAD, KOKOMO IN 46902
indianalicensing.org
ID 5876464
LAST UPDATED 2024-02-17 08:35:59 UTC
LAST UPDATED 2024-02-17 08:35:59 UTC
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