Keith Jerome Ledford

Controlled Substance Registration - Physician

Indiana  01056554B   Expired

This Indiana license was held by Keith Jerome Ledford. The license is no longer active. It was granted on 11/06/2002 and expired on 06/30/2003

LICENSE DETAILS

  • License Number: 01056554B
  • Category: CSR-Physician
  • Status: Expired
  • Date Granted: 11/06/2002 (over 22 years ago)
  • Expiry Date: 06/30/2003 (almost 22 years ago)

LOCATIONS

A Address

St. Joseph Regional; ATTN: Marilyn Byers, 1919 Lake Avenue, Plymouth IN 46563