Keith Russell Knuth
Controlled Substance Registration - Physician
Indiana 01036083B Active
This Indiana license is held by Keith Russell Knuth. The license is currently active. It was granted on 07/23/1987 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01036083B
- Category: CSR-Physician
- Status: Active
- Date Granted: 07/23/1987 (almost 38 years ago)
- Expiry Date: 10/31/2015 (over 9 years ago)
LOCATIONS
A Address
2350 East 161st Street, Westfield IN 46074
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