Indiana
Professional Licensing Agency
Kelly Niederhausen Pringle
Controlled Substance Registration - Physician
License number
01063783B
Date granted
06/15/2007
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Norton CMA-Clarksville, 2051 Clevidence Blvd, Clarksville IN 47129
indianalicensing.org
ID 5834330
LAST UPDATED 2024-04-19 21:07:43 UTC
LAST UPDATED 2024-04-19 21:07:43 UTC
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