Kelly Winston Fife
Controlled Substance Registration - Physician
Indiana 01040820B Expired
This Indiana license was held by Kelly Winston Fife. The license is no longer active. It was granted on 12/03/1992 and expired on 06/30/2005
LICENSE DETAILS
- License Number: 01040820B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 12/03/1992 (over 31 years ago)
- Expiry Date: 06/30/2005 (almost 19 years ago)
LOCATIONS
A Address
ST MARYS HOSPITAL, 3700 WASHINGTON AVENUE, EVANSVILLE IN 47750