License holder summary

Kristen S. Ingram is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Kristen S. Ingram is 7820 South Voyles Road, Pekin IN 47165. This licensed professional license is current. The license was granted 07/08/2005 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Kristen S. Ingram
Controlled Substance Registration - Physician
License number
01060058B
Date granted
07/08/2005
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
7820 South Voyles Road, Pekin IN 47165
indianalicensing.org
ID 5909122
LAST UPDATED 2024-04-05 09:23:55 UTC

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