License holder summary

Kelly Lynn Foutch is a Controlled Substance Registration-Physician Assistant licensed to practice in Indiana. The address on file for Kelly Lynn Foutch is PromptMed Urgent Care Center, 2502 E. 25th Street, Columbus IN 47201. This licensed professional license is current. The license was granted 12/07/2012 and expired on 06/30/2016.

Indiana

Professional Licensing Agency

Kelly Lynn Foutch
Controlled Substance Registration-Physician Assistant
License number
10001285B
Date granted
12/07/2012
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
PromptMed Urgent Care Center, 2502 E. 25th Street, Columbus IN 47201
indianalicensing.org
ID 8386149
LAST UPDATED 2024-02-10 03:44:59 UTC

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