Indiana
Professional Licensing Agency
Kenneth G. Lansford
Controlled Substance Registration - Physician
License number
01017744B
Date granted
05/31/1986
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
155 Country Club Dr., LAPORTE IN 46350
indianalicensing.org
ID 5878210
LAST UPDATED 2024-03-19 22:51:12 UTC
LAST UPDATED 2024-03-19 22:51:12 UTC
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