License holder summary

KENNETH ALLEN RIVERS is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for KENNETH ALLEN RIVERS is Middle Passages, 4747 W. 24th Ave., Gary IN 46404. This licensed professional license is not current. The license was granted 01/31/1985 and expired on 06/30/2005.

Indiana

Professional Licensing Agency

KENNETH ALLEN RIVERS
Controlled Substance Registration - Physician
License number
01030615B
Date granted
01/31/1985
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Middle Passages, 4747 W. 24th Ave., Gary IN 46404
indianalicensing.org
ID 5856857
LAST UPDATED 2024-04-10 04:14:19 UTC

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