Indiana
Professional Licensing Agency
Kevin Gilbert Koth
Controlled Substance Registration-Osteopathic Physician
License number
02003992B
Date granted
05/29/2012
Date expires
10/31/2013
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
Clark Memorial Hospital, 1220 Missouri Avenue, Jeffersonville IN 47130
indianalicensing.org
ID 5806197
LAST UPDATED 2024-05-04 12:24:40 UTC
LAST UPDATED 2024-05-04 12:24:40 UTC
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