Christopher Wayne Kidwell, Jr.
Controlled Substance Registration - Physician
Indiana 01067467B Active
This Indiana license is held by Christopher Wayne Kidwell, Jr.. The license is currently active. It was granted on 05/27/2011 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01067467B
- Category: CSR-Physician
- Status: Active
- Date Granted: 05/27/2011 (about 15 years ago)
- Expiry Date: 10/31/2015 (over 10 years ago)
LOCATIONS
A Address
., 1001 North Madison Avenue, Greenwood IN 46142
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