Indiana
Professional Licensing Agency
Taegee Kiehm
Controlled Substance Registration - Physician
License number
01027437B
Date granted
07/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
St. Joseph Regional Medical Center, 5215 Holy Cross Pkwy., Mishawaka IN 46545
indianalicensing.org
ID 5896000
LAST UPDATED 2024-04-03 10:21:09 UTC
LAST UPDATED 2024-04-03 10:21:09 UTC
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