License holder summary

Kevin Wayne Bozarth is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Kevin Wayne Bozarth is ST MARY 'S HOSPITAL, 3700 WASHINGTON AVENUE, EVANSVILLE IN 47714. This licensed professional license is not current. The license was granted 01/21/1993 and expired on 06/30/2005.

Indiana

Professional Licensing Agency

Kevin Wayne Bozarth
Controlled Substance Registration - Physician
License number
01041001B
Date granted
01/21/1993
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
ST MARY 'S HOSPITAL, 3700 WASHINGTON AVENUE, EVANSVILLE IN 47714
indianalicensing.org
ID 5850456
LAST UPDATED 2024-04-18 10:37:45 UTC

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