License holder summary

Kenneth R Holloway is a Controlled Substance Registration-Physician Assistant licensed to practice in Indiana. The address on file for Kenneth R Holloway is 2002 S. Holt Road, Indianapolis IN 46241. This licensed professional license is current. The license was granted 09/24/2010 and expired on 06/30/2016.

Indiana

Professional Licensing Agency

Kenneth R Holloway
Controlled Substance Registration-Physician Assistant
License number
10001067B
Date granted
09/24/2010
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
2002 S. Holt Road, Indianapolis IN 46241
indianalicensing.org
ID 8387297
LAST UPDATED 2024-02-29 02:33:28 UTC

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