Indiana
Professional Licensing Agency
Richard Kelty
Controlled Substance Registration - Physician
License number
01031970B
Date granted
11/30/1985
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Parkview FirstCare, 3909 New Vision Drive, Fort Wayne IN 46845
indianalicensing.org
ID 5854308
LAST UPDATED 2024-03-25 21:57:02 UTC
LAST UPDATED 2024-03-25 21:57:02 UTC
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