Kellen Tage Hansen
Controlled Substance Registration-Osteopathic Physician
Indiana 02004307B Active
This Indiana license is held by Kellen Tage Hansen. The license is currently active. It was granted on 10/16/2013 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 02004307B
- Category: CSR-Osteopathic Physician
- Status: Active
- Date Granted: 10/16/2013 (over 10 years ago)
- Expiry Date: 10/31/2015 (over 8 years ago)
LOCATIONS
A Address
IU Health Ball Memorial Hospital & Family Residency, 221 N Celia Avenue, Muncie IN 47303
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