Indiana
Professional Licensing Agency
Kenneth P. Broshears
Controlled Substance Registration - Physician
License number
01015398B
Date granted
04/30/1986
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
990 EAST VINCENNES STREET, LINTON IN 47441
indianalicensing.org
ID 5884592
LAST UPDATED 2024-02-21 21:08:43 UTC
LAST UPDATED 2024-02-21 21:08:43 UTC
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