License holder summary

Keven Wayne Dodt is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Keven Wayne Dodt is Sigma Medical Group, 2323 Ferry Street, Suite 206, Lafayette IN 47904. This licensed professional license is current. The license was granted 03/31/1986 and expired on 10/31/2015.

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

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