Keith Randall Whitesides
Controlled Substance Registration - Physician
Indiana 01032200B Active
This Indiana license is held by Keith Randall Whitesides. The license is currently active. It was granted on 02/28/1986 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01032200B
- Category: CSR-Physician
- Status: Active
- Date Granted: 02/28/1986 (over 40 years ago)
- Expiry Date: 10/31/2015 (almost 11 years ago)
LOCATIONS
A Address
Indiana University Health Arnett, 2600 Greenbush Street, Lafayette IN 47904
Are you Keith Randall Whitesides? Show the world that you're licensed by displaying your personal badge.
Get Badge