Indiana
Professional Licensing Agency
Kelly Christine Grieves
Controlled Substance Registration - Physician
License number
01059197B
Date granted
05/25/2004
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Gosport Family Practice, 7 E Main St., P.O. Box 9, Gosport IN 47433
indianalicensing.org
ID 5859348
LAST UPDATED 2024-02-29 16:31:34 UTC
LAST UPDATED 2024-02-29 16:31:34 UTC
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