KENNETH ALLEN RIVERS
Controlled Substance Registration - Physician
Indiana 01030615B Expired
This Indiana license was held by KENNETH ALLEN RIVERS. The license is no longer active. It was granted on 01/31/1985 and expired on 06/30/2005
LICENSE DETAILS
- License Number: 01030615B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 01/31/1985 (over 41 years ago)
- Expiry Date: 06/30/2005 (about 21 years ago)
LOCATIONS
A Address
Middle Passages, 4747 W. 24th Ave., Gary IN 46404