License holder summary

Kevin Robert Kristl is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Kevin Robert Kristl is 229 Red Coach Drive Suite 105, Mishawaka IN 46545. This licensed professional license is current. The license was granted 05/02/1989 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Kevin Robert Kristl
Controlled Substance Registration - Physician
License number
01037448B
Date granted
05/02/1989
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
229 Red Coach Drive Suite 105, Mishawaka IN 46545
indianalicensing.org
ID 5895378
LAST UPDATED 2024-04-28 01:32:09 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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