License holder summary

Keyna Ann Martinez is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Keyna Ann Martinez is Lakeville Family Practice, 601 North Michigan Street, P O Box 17, Lakeville IN 46536. This licensed professional license is current. The license was granted 08/04/2008 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Keyna Ann Martinez
Controlled Substance Registration - Physician
License number
01065420B
Date granted
08/04/2008
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Lakeville Family Practice, 601 North Michigan Street, P O Box 17, Lakeville IN 46536
indianalicensing.org
ID 5881277
LAST UPDATED 2024-02-24 21:32:31 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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