Indiana
Professional Licensing Agency
Patricia A Fowler Keener
Controlled Substance Registration - Physician
License number
01022215B
Date granted
05/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
WISHARD MEMORIAL HOSPITAL, 1001 WEST 10TH STREET, INDIANAPOLIS IN 46202
indianalicensing.org
ID 5870360
LAST UPDATED 2024-04-27 11:10:58 UTC
LAST UPDATED 2024-04-27 11:10:58 UTC
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