Indiana
Professional Licensing Agency
Kevin L Potts
Controlled Substance Registration - Physician
License number
01068364B
Date granted
06/24/2010
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
CMA Clarksville- Attn: Nanette Martin, 2051 Clevidence Blvd, Clarksville IN 47129
indianalicensing.org
ID 5834345
LAST UPDATED 2024-04-17 23:49:32 UTC
LAST UPDATED 2024-04-17 23:49:32 UTC
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