Indiana
Professional Licensing Agency
Kevin Michael Logan
Controlled Substance Registration - Physician
License number
01052474B
Date granted
08/10/2000
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
8499 Fishers Center Dr., Fishers IN 46038
indianalicensing.org
ID 5851957
LAST UPDATED 2024-02-05 13:01:28 UTC
LAST UPDATED 2024-02-05 13:01:28 UTC
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