Kelly Louis Grossman
Controlled Substance Registration - Physician
Indiana 01048923B Active
This Indiana license is held by Kelly Louis Grossman. The license is currently active. It was granted on 08/09/1999 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01048923B
- Category: CSR-Physician
- Status: Active
- Date Granted: 08/09/1999 (almost 27 years ago)
- Expiry Date: 10/31/2015 (over 10 years ago)
LOCATIONS
A Address
Jennings Family Care, 301 Henry Street, North Vernon IN 47265
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