Indiana
Professional Licensing Agency
Martin J. Kelly
Controlled Substance Registration - Physician
License number
01060596B
Date granted
05/13/2005
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Porter Valpariso Hospital Campus, 814 LaPorte Avenue, Valparaiso IN 46383
indianalicensing.org
ID 5929230
LAST UPDATED 2024-04-06 09:30:30 UTC
LAST UPDATED 2024-04-06 09:30:30 UTC
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