Indiana
Professional Licensing Agency
Ted C. Kirby
Controlled Substance Registration - Physician
License number
01016494B
Date granted
05/31/1986
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
122 GRANDISON ROAD, GREENFIELD IN 46140
indianalicensing.org
ID 5860739
LAST UPDATED 2024-04-07 10:23:18 UTC
LAST UPDATED 2024-04-07 10:23:18 UTC
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