License holder summary

KENNETH H MC CROCKLIN is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for KENNETH H MC CROCKLIN is KINGS DAUGHTERS HOSPITAL, PO BX 447 112 PRESBYTERIAN AVE, MADISON IN 47250. This licensed professional license is not current. The license was granted 11/25/1986 and expired on 06/30/1993.

Indiana

Professional Licensing Agency

KENNETH H MC CROCKLIN
Controlled Substance Registration - Physician
License number
01035582B
Date granted
11/25/1986
Date expires
06/30/1993
Class
Controlled Substance Registration - Physician
Status
Expired
Address
KINGS DAUGHTERS HOSPITAL, PO BX 447 112 PRESBYTERIAN AVE, MADISON IN 47250
indianalicensing.org
ID 5886859
LAST UPDATED 2024-03-18 08:09:41 UTC

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