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 (almost 13 years ago)
  • Expiry Date: 10/31/2015 (almost 11 years ago)

LOCATIONS

A Address

IU Health Ball Memorial Hospital & Family Residency, 221 N Celia Avenue, Muncie IN 47303