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
LAST UPDATED 2024-03-18 08:09:41 UTC
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