Guy Kedziora

Controlled Substance Registration - Physician

Indiana  01039718B   Active

This Indiana license is held by Guy Kedziora. The license is currently active. It was granted on 09/26/1991 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01039718B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 09/26/1991 (over 34 years ago)
  • Expiry Date: 10/31/2015 (over 10 years ago)

LOCATIONS

A Address

1915 Lake Ave, Plymouth IN 46563