Indiana
Professional Licensing Agency
ROD STEPHEN KUBLEY
Controlled Substance Registration - Physician
License number
01035442B
Date granted
09/22/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1919 LAKE AVENUE SUITE 104, PLYMOUTH IN 46563
indianalicensing.org
ID 5910762
LAST UPDATED 2024-04-26 13:39:19 UTC
LAST UPDATED 2024-04-26 13:39:19 UTC
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