License holder summary

STEPHANIE JO KINNAMAN is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for STEPHANIE JO KINNAMAN is American Health Network, 300 E. BOYD AVENUE, SUITE 100, GREENFIELD IN 46140. This licensed professional license is current. The license was granted 08/03/2001 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

STEPHANIE JO KINNAMAN
Controlled Substance Registration - Physician
License number
01054803B
Date granted
08/03/2001
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
American Health Network, 300 E. BOYD AVENUE, SUITE 100, GREENFIELD IN 46140
indianalicensing.org
ID 5860686
LAST UPDATED 2024-04-11 09:51:19 UTC

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