License holder summary

Kimberly Rose Mauller is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Kimberly Rose Mauller is DALEVILLE HEALTH & DIAGNOSTIC, 14529 W DAVIS DR, DALEVILLE IN 47334. This licensed professional license is not current. The license was granted 10/27/1999 and expired on 06/30/2001.

Indiana

Professional Licensing Agency

Kimberly Rose Mauller
Controlled Substance Registration - Physician
License number
01047281C
Date granted
10/27/1999
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
DALEVILLE HEALTH & DIAGNOSTIC, 14529 W DAVIS DR, DALEVILLE IN 47334
indianalicensing.org
ID 5842307
LAST UPDATED 2024-03-07 02:29:12 UTC

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