Indiana
Professional Licensing Agency
Keith Russell Knuth
Controlled Substance Registration - Physician
License number
01036083B
Date granted
07/23/1987
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
2350 East 161st Street, Westfield IN 46074
indianalicensing.org
ID 5934831
LAST UPDATED 2024-03-05 10:08:55 UTC
LAST UPDATED 2024-03-05 10:08:55 UTC
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