Indiana
Professional Licensing Agency
Kenneth Marnocha
Controlled Substance Registration - Physician
License number
01031076B
Date granted
01/18/1986
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
2600 Greenbush Street, Lafayette IN 47904
indianalicensing.org
ID 5880084
LAST UPDATED 2024-04-29 13:00:55 UTC
LAST UPDATED 2024-04-29 13:00:55 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.