Indiana
Professional Licensing Agency
Kenneth J Myers
Controlled Substance Registration - Physician
License number
01030685B
Date granted
03/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
206 North 6th Street, Petersburg IN 47567
indianalicensing.org
ID 5909766
LAST UPDATED 2024-03-26 18:21:41 UTC
LAST UPDATED 2024-03-26 18:21:41 UTC
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