License holder summary

KIMBERLY FLORENTINE PERRY is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for KIMBERLY FLORENTINE PERRY is PORTAGE MEDICAL GROUP, 3630 WILLOWCREED ROAD, PORTAGE IN 46368. This licensed professional license is current. The license was granted 05/23/1996 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

KIMBERLY FLORENTINE PERRY
Controlled Substance Registration - Physician
License number
01045170B
Date granted
05/23/1996
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
PORTAGE MEDICAL GROUP, 3630 WILLOWCREED ROAD, PORTAGE IN 46368
indianalicensing.org
ID 5911115
LAST UPDATED 2024-04-19 06:56:25 UTC

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

Reviews

Are you familiar with KIMBERLY FLORENTINE PERRY's work? Add a comment below. You can write anonymously and without having to create an account.

Similar names
Trending