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 The license is no longer active.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