Indiana
Professional Licensing Agency
Kenneth Deylen Davis
Controlled Substance Registration - Physician
License number
01020989B
Date granted
06/30/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
611 Harriet St., PO Box 5709, Suite 407, Evansville IN 47716-5709
indianalicensing.org
ID 5850416
LAST UPDATED 2024-03-26 23:43:59 UTC
LAST UPDATED 2024-03-26 23:43:59 UTC
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