License holder summary

KEITH EDWARD KUCERA is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for KEITH EDWARD KUCERA is 123 CHERRY STREET, MARION IN 46952. This licensed professional license is not current. The license was granted 03/10/1992 and expired on 06/30/1999.

Indiana

Professional Licensing Agency

KEITH EDWARD KUCERA
Controlled Substance Registration-Osteopathic Physician
License number
02001310B
Date granted
03/10/1992
Date expires
06/30/1999
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
123 CHERRY STREET, MARION IN 46952
indianalicensing.org
ID 5808303
LAST UPDATED 2024-03-10 16:32:11 UTC

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