Indiana
Professional Licensing Agency
PHILIP RICHARD KAVANAGH
Controlled Substance Registration-Osteopathic Physician
License number
02002062B
Date granted
06/04/1999
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
MEMORIAL HOSPITAL, 615 NORTH MICHIGAN ST, SOUTH BEND IN 46601
indianalicensing.org
ID 5813620
LAST UPDATED 2024-05-04 09:52:50 UTC
LAST UPDATED 2024-05-04 09:52:50 UTC
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