Indiana
Professional Licensing Agency
Keith Woodard Logie
Controlled Substance Registration - Physician
License number
01031620B
Date granted
04/30/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
10212 Lantern Road, Fishers IN 46037
indianalicensing.org
ID 5851952
LAST UPDATED 2024-03-06 02:29:07 UTC
LAST UPDATED 2024-03-06 02:29:07 UTC
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