Indiana
Professional Licensing Agency
Maureen Kidd
Controlled Substance Registration - Physician
License number
01066375B
Date granted
03/25/2009
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Dukes Memorial Hospital, 275 W. 12th Street, Peru IN 46970-1698
indianalicensing.org
ID 5909585
LAST UPDATED 2024-03-23 01:23:36 UTC
LAST UPDATED 2024-03-23 01:23:36 UTC
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