Indiana
Professional Licensing Agency
Kirby Gross
Controlled Substance Registration - Physician
License number
01030367B
Date granted
03/31/1985
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
303 SOUTH NAPPANEE STREET, ELKHART IN 46515
indianalicensing.org
ID 5847728
LAST UPDATED 2024-03-17 09:24:21 UTC
LAST UPDATED 2024-03-17 09:24:21 UTC
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