Carlos Kellenberger
Controlled Substance Registration - Physician
Indiana 01062831B Expired
This Indiana license was held by Carlos Kellenberger. The license is no longer active. It was granted on 10/03/2006 and expired on 10/31/2013
LICENSE DETAILS
- License Number: 01062831B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 10/03/2006 (over 18 years ago)
- Expiry Date: 10/31/2013 (over 11 years ago)
LOCATIONS
A Address
Carlos C. Kellenberger, 505 Wabash Avenue, Marion IN 46592