License holder summary

Theppanya K. Keolasy is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Theppanya K. Keolasy is 2003 Stults Rd., Ste 100, Huntington IN 46750. This licensed professional license is current. The license was granted 03/10/2004 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Theppanya K. Keolasy
Controlled Substance Registration - Physician
License number
01058795B
Date granted
03/10/2004
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
2003 Stults Rd., Ste 100, Huntington IN 46750
indianalicensing.org
ID 5868802
LAST UPDATED 2024-02-23 14:04:15 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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