Indiana
Professional Licensing Agency
Kenneth M. Maynard
Controlled Substance Registration-Osteopathic Physician
License number
02000836F
Date granted
09/10/2013
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
123 South Franklin Road, Bloomington IN 47404
indianalicensing.org
ID 5795469
LAST UPDATED 2024-04-07 04:03:27 UTC
LAST UPDATED 2024-04-07 04:03:27 UTC
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