Indiana
Professional Licensing Agency
KENNETH SAMUEL WOODMAN
Controlled Substance Registration - Physician
License number
01023036B
Date granted
09/30/1983
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
3040 PARKWOOD DRIVE, RICHMOND IN 47374
indianalicensing.org
ID 5913637
LAST UPDATED 2024-03-28 19:32:01 UTC
LAST UPDATED 2024-03-28 19:32:01 UTC
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