License holder summary

Kelli Allison Hertz is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Kelli Allison Hertz is King's Daughters' Health, 1373 East State Road 62, Madison IN 47250. This licensed professional license is current. The license was granted 04/07/2003 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Kelli Allison Hertz
Controlled Substance Registration - Physician
License number
01057454B
Date granted
04/07/2003
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
King's Daughters' Health, 1373 East State Road 62, Madison IN 47250
indianalicensing.org
ID 5886875
LAST UPDATED 2024-03-24 06:25:52 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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