Indiana
Professional Licensing Agency
KENNARD B SPROUL
Controlled Substance Registration - Physician
License number
01029027B
Date granted
03/31/1986
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
7805 NORTH CRESTWOOD LANE, Brazil IN 47834
indianalicensing.org
ID 5827709
LAST UPDATED 2024-01-30 18:07:13 UTC
LAST UPDATED 2024-01-30 18:07:13 UTC
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