Indiana
Professional Licensing Agency
Kevin Ko
Controlled Substance Registration - Physician
License number
01073851B
Date granted
04/22/2014
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Granger Community Medicine, 12563 State Road 23, Knox IN 46530
indianalicensing.org
ID 27710590
LAST UPDATED 2024-04-29 15:41:34 UTC
LAST UPDATED 2024-04-29 15:41:34 UTC
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