Indiana
Professional Licensing Agency
Kenneth C. Castor, Jr.
Controlled Substance Registration - Physician
License number
01024443B
Date granted
06/30/1986
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Expired
Address
3124 EAST STATE BOULEVARD, FORT WAYNE IN 46805
indianalicensing.org
ID 5853830
LAST UPDATED 2024-04-03 22:09:11 UTC
LAST UPDATED 2024-04-03 22:09:11 UTC
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