Indiana
Professional Licensing Agency
Kenny Eugene Stall
Controlled Substance Registration - Physician
License number
01033052B
Date granted
04/30/1984
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
533 E County Line Rd, Ste 102, Greenwood IN 46143
indianalicensing.org
ID 5862034
LAST UPDATED 2024-04-03 01:02:49 UTC
LAST UPDATED 2024-04-03 01:02:49 UTC
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