License holder summary

WILLIAM KENT SCUPHAM is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for WILLIAM KENT SCUPHAM is INACTIVE 060587, INDIANAPOLIS IN 46205. This licensed professional license is not current. The license was granted 01/31/1986 and expired on 06/30/1987.

Indiana

Professional Licensing Agency

WILLIAM KENT SCUPHAM
Controlled Substance Registration - Physician
License number
01024579B
Date granted
01/31/1986
Date expires
06/30/1987
Class
Controlled Substance Registration - Physician
Status
Expired
Address
INACTIVE 060587, INDIANAPOLIS IN 46205
indianalicensing.org
ID 5871110
LAST UPDATED 2024-04-08 08:32:58 UTC

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