Indiana
Professional Licensing Agency
Kenneth John Beres
Controlled Substance Registration - Physician
License number
01035725B
Date granted
04/13/1987
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1189 West Wildflower Court, Warsaw IN 46580
indianalicensing.org
ID 5932655
LAST UPDATED 2024-02-11 11:59:09 UTC
LAST UPDATED 2024-02-11 11:59:09 UTC
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