License holder summary

Keith Randall Whitesides is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Keith Randall Whitesides is Indiana University Health Arnett, 2600 Greenbush Street, Lafayette IN 47904. This licensed professional license is current. The license was granted 02/28/1986 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Keith Randall Whitesides
Controlled Substance Registration - Physician
License number
01032200B
Date granted
02/28/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Indiana University Health Arnett, 2600 Greenbush Street, Lafayette IN 47904
indianalicensing.org
ID 5880056
LAST UPDATED 2024-02-12 19:27:53 UTC

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