Kevin Thomas Powell

Controlled Substance Registration - Physician

Indiana  01045021B   Expired

This Indiana license was held by Kevin Thomas Powell. The license is no longer active. It was granted on 04/25/1996 and expired on 06/30/1997

LICENSE DETAILS

  • License Number: 01045021B
  • Category: CSR-Physician
  • Status: Expired
  • Date Granted: 04/25/1996 (about 30 years ago)
  • Expiry Date: 06/30/1997 (almost 29 years ago)

LOCATIONS

A Address

PEDIATRIC CENTER OF RICHMOND, 1434 CHESTER BLVD, RICHMOND IN 47374