Indiana
Professional Licensing Agency
Kristin Ann Mahan
Controlled Substance Registration - Physician
License number
01053104B
Date granted
09/27/2000
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
The Medical Center of Vincennes, 406 North 1st Street, Vincennes IN 47591
indianalicensing.org
ID 5931034
LAST UPDATED 2024-04-24 11:00:53 UTC
LAST UPDATED 2024-04-24 11:00:53 UTC
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