Keven Wayne Dodt

Controlled Substance Registration - Physician

Indiana  01025332B   Active

This Indiana license is held by Keven Wayne Dodt. The license is currently active. It was granted on 03/31/1986 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01025332B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 03/31/1986 (over 40 years ago)
  • Expiry Date: 10/31/2015 (almost 11 years ago)

LOCATIONS

A Address

Sigma Medical Group, 2323 Ferry Street, Suite 206, Lafayette IN 47904