Kevin Kernan Trice
Controlled Substance Registration - Physician
Indiana 01059180B Expired
This Indiana license was held by Kevin Kernan Trice. The license is no longer active. It was granted on 05/21/2004 and expired on 06/30/2007
LICENSE DETAILS
- License Number: 01059180B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 05/21/2004 (about 21 years ago)
- Expiry Date: 06/30/2007 (almost 18 years ago)
LOCATIONS
A Address
428 Vincennes Street, New Albany IN 47150