Indiana
Professional Licensing Agency
Kelli Gwyn Hall
Controlled Substance Registration - Physician
License number
01040811B
Date granted
08/31/1994
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
General Medicine Office, 727 Mount Tabor Road Ste B, New Albany IN 47150-6951
indianalicensing.org
ID 5903083
LAST UPDATED 2024-03-23 09:15:26 UTC
LAST UPDATED 2024-03-23 09:15:26 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.