License holder summary

Kelly Wayne McGuire is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Kelly Wayne McGuire is 420 West 4th Street, Ste 100A, Mishawaka IN 46544. This licensed professional license is current. The license was granted 03/28/2005 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Kelly Wayne McGuire
Controlled Substance Registration - Physician
License number
01060309B
Date granted
03/28/2005
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
420 West 4th Street, Ste 100A, Mishawaka IN 46544
indianalicensing.org
ID 5895337
LAST UPDATED 2024-02-28 14:39:19 UTC

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

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