Indiana
Professional Licensing Agency
Kimberly Lauren Irvin
Controlled Substance Registration-Osteopathic Physician
License number
02004082B
Date granted
09/06/2012
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Reid Hospital Emergency Dept., 1100 Reid Pkwy - c/o Sam Iden, Richmond IN 47374
indianalicensing.org
ID 5812206
LAST UPDATED 2024-04-01 08:25:11 UTC
LAST UPDATED 2024-04-01 08:25:11 UTC
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