Indiana
Professional Licensing Agency
Kimberly Foster
Controlled Substance Registration - Physician
License number
01051571B
Date granted
03/23/2006
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
4199 Gateway Boulevard, Suite 2300, Newburgh IN 47630
indianalicensing.org
ID 5905830
LAST UPDATED 2024-03-04 14:11:13 UTC
LAST UPDATED 2024-03-04 14:11:13 UTC
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