KENNETH SAMUEL WOODMAN
Controlled Substance Registration - Physician
Indiana 01023036B Expired
This Indiana license was held by KENNETH SAMUEL WOODMAN. The license is no longer active. It was granted on 09/30/1983 and expired on 06/30/2003
LICENSE DETAILS
- License Number: 01023036B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 09/30/1983 (over 42 years ago)
- Expiry Date: 06/30/2003 (almost 23 years ago)
LOCATIONS
A Address
3040 PARKWOOD DRIVE, RICHMOND IN 47374