Agnes Kenny
Controlled Substance Registration - Physician
Indiana 01031072B Active
This Indiana license is held by Agnes Kenny. The license is currently active. It was granted on 06/30/1986 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01031072B
- Category: CSR-Physician
- Status: Active
- Date Granted: 06/30/1986 (almost 40 years ago)
- Expiry Date: 10/31/2015 (over 10 years ago)
LOCATIONS
A Address
1000 NORTH BROADWAY, PERU IN 46970
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