DAVID KEITH POWELL

Controlled Substance Registration - Physician

Indiana  01037906B   Active

This Indiana license is held by DAVID KEITH POWELL. The license is currently active. It was granted on 09/13/1989 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01037906B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 09/13/1989 (over 35 years ago)
  • Expiry Date: 10/31/2015 (over 9 years ago)

LOCATIONS

A Address

Fort Wayne Radiology Association LLC, 3707 New Vision Dr. P.O. Box 5602, Fort Wayne IN 46895-5602