Indiana
Professional Licensing Agency
Kimberly Hayden
Controlled Substance Registration - Physician
License number
01053977B
Date granted
07/27/2005
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Yorktown Health and Diagnostic Center, 1420 S. Pilgrim Blvd, Yorktown IN 47396
indianalicensing.org
ID 5936423
LAST UPDATED 2024-03-01 06:13:18 UTC
LAST UPDATED 2024-03-01 06:13:18 UTC
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