Indiana
Professional Licensing Agency
Nina Kunkle
Controlled Substance Registration - Physician
License number
01028633B
Date granted
10/31/1984
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
3783 STATE RD 18 EAST, Marion IN 46952-0948
indianalicensing.org
ID 5888464
LAST UPDATED 2024-02-08 01:12:40 UTC
LAST UPDATED 2024-02-08 01:12:40 UTC
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