License holder summary

Kelly J Clark is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Kelly J Clark is Madison State Hospital, 711 Green Road, Madison IN 47250. This licensed professional license is current. The license was granted 05/07/2008 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Kelly J Clark
Controlled Substance Registration - Physician
License number
01058685B
Date granted
05/07/2008
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Madison State Hospital, 711 Green Road, Madison IN 47250
indianalicensing.org
ID 5886845
LAST UPDATED 2024-04-21 14:12:08 UTC

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

Reviews

Are you familiar with Kelly J Clark's work? Add a comment below. You can write anonymously and without having to create an account.

Similar names
Trending