Indiana
Professional Licensing Agency
Keven Wayne Dodt
Controlled Substance Registration - Physician
License number
01025332B
Date granted
03/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Sigma Medical Group, 2323 Ferry Street, Suite 206, Lafayette IN 47904
indianalicensing.org
ID 5880104
LAST UPDATED 2024-04-23 03:26:14 UTC
LAST UPDATED 2024-04-23 03:26:14 UTC
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