Kenny Eugene Stall
Controlled Substance Registration - Physician
Indiana 01033052B Active
This Indiana license is held by Kenny Eugene Stall. The license is currently active. It was granted on 04/30/1984 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01033052B
- Category: CSR-Physician
- Status: Active
- Date Granted: 04/30/1984 (about 41 years ago)
- Expiry Date: 10/31/2015 (over 9 years ago)
LOCATIONS
A Address
533 E County Line Rd, Ste 102, Greenwood IN 46143
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