Indiana
Professional Licensing Agency
Kelly Winston Fife
Controlled Substance Registration - Physician
License number
01040820B
Date granted
12/03/1992
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
ST MARYS HOSPITAL, 3700 WASHINGTON AVENUE, EVANSVILLE IN 47750
indianalicensing.org
ID 5850413
LAST UPDATED 2024-02-26 11:41:05 UTC
LAST UPDATED 2024-02-26 11:41:05 UTC
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