Indiana
Professional Licensing Agency
KEVIN JOSEPH KELLY
Controlled Substance Registration - Physician
License number
01034506B
Date granted
07/30/1985
Date expires
06/30/1987
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1912 CAREW ST, FORT WAYNE IN 46807
indianalicensing.org
ID 5853848
LAST UPDATED 2024-03-17 02:34:15 UTC
LAST UPDATED 2024-03-17 02:34:15 UTC
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