Indiana
Professional Licensing Agency
Ricky Lavaughn Kime
Controlled Substance Registration - Physician
License number
01031273B
Date granted
09/08/1981
Date expires
09/30/1982
Class
Controlled Substance Registration - Physician
Status
Expired
Address
2434 U S HIGHWAY #31, PLYMOUTH IN 46563
indianalicensing.org
ID 5910730
LAST UPDATED 2026-03-28 22:19:44 UTC
LAST UPDATED 2026-03-28 22:19:44 UTC
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