Kenneth Samuel Cook
Controlled Substance Registration - Physician
Indiana 01050485B Expired
This Indiana license was held by Kenneth Samuel Cook. The license is no longer active. It was granted on 04/27/1999 and expired on 06/30/2001
LICENSE DETAILS
- License Number: 01050485B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 04/27/1999 (about 26 years ago)
- Expiry Date: 06/30/2001 (about 24 years ago)
LOCATIONS
A Address
COLUMBUS OCCUPATIONAL HEALTH CENTER, 605 COTTAGE AVE, COLUMBUS IN 47201