Indiana
Professional Licensing Agency
Keith Wellington Myrick
Controlled Substance Registration - Podiatrist
License number
07001150B
Date granted
11/15/2012
Date expires
06/30/2015
Class
Controlled Substance Registration - Podiatrist
Status
Active
Address
Metro Specialty Surgery Center, 200 Missouri Ave. Building 18, Suite A, Jeffersonville IN 47130
indianalicensing.org
ID 8431027
LAST UPDATED 2024-04-13 07:41:41 UTC
LAST UPDATED 2024-04-13 07:41:41 UTC
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