License holder summary

LEROY DETRUDE KINZER is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for LEROY DETRUDE KINZER is MARKLE MEDICAL CENTER, 100 W HORTON ST, BLUFFTON IN 46714. This licensed professional license is not current. The license was granted 09/22/1992 and expired on 06/30/1997.

Indiana

Professional Licensing Agency

LEROY DETRUDE KINZER
Controlled Substance Registration - Physician
License number
01020258C
Date granted
09/22/1992
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Expired
Address
MARKLE MEDICAL CENTER, 100 W HORTON ST, BLUFFTON IN 46714
indianalicensing.org
ID 5826664
LAST UPDATED 2024-03-27 21:08:06 UTC

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