Indiana
Professional Licensing Agency
Michael James Keenan
Controlled Substance Registration - Physician
License number
01046708B
Date granted
05/22/1997
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
2802 Leonard Drive, Valparaiso IN 46383
indianalicensing.org
ID 5929323
LAST UPDATED 2024-05-21 02:24:37 UTC
LAST UPDATED 2024-05-21 02:24:37 UTC
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