Keith W. Ivens
Controlled Substance Registration - Physician
Indiana 01044224C Expired
This Indiana license was held by Keith W. Ivens. The license is no longer active. It was granted on 08/31/1995 and expired on 06/30/1999
LICENSE DETAILS
- License Number: 01044224C
- Category: CSR-Physician
- Status: Expired
- Date Granted: 08/31/1995 (almost 31 years ago)
- Expiry Date: 06/30/1999 (almost 27 years ago)
LOCATIONS
A Address
727 MOON ROAD, PLAINFIELD IN 46168