License holder summary

Kelly Louis Grossman is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Kelly Louis Grossman is Jennings Family Care, 301 Henry Street, North Vernon IN 47265. This licensed professional license is current. The license was granted 08/09/1999 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Kelly Louis Grossman
Controlled Substance Registration - Physician
License number
01048923B
Date granted
08/09/1999
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Jennings Family Care, 301 Henry Street, North Vernon IN 47265
indianalicensing.org
ID 5907714
LAST UPDATED 2024-01-30 21:36:40 UTC

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