Indiana
Professional Licensing Agency
Kimberly Jo Lentz
Controlled Substance Registration - Physician
License number
01040586B
Date granted
01/11/1995
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1500 W. Oak Street, Suite 500, Zionsville IN 46077
indianalicensing.org
ID 5936913
LAST UPDATED 2024-04-10 23:41:42 UTC
LAST UPDATED 2024-04-10 23:41:42 UTC
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