Kimberley Lucretia Tolliver
Controlled Substance Registration-Osteopathic Physician
Indiana 02002020C Expired
This Indiana license was held by Kimberley Lucretia Tolliver. The license is no longer active. It was granted on 06/23/1999 and expired on 06/30/2003
LICENSE DETAILS
- License Number: 02002020C
- Category: CSR-Osteopathic Physician
- Status: Expired
- Date Granted: 06/23/1999 (about 27 years ago)
- Expiry Date: 06/30/2003 (about 23 years ago)
LOCATIONS
A Address
CHESTERTON HEALTH CENTER, 748 E PORTOER AVE STE 2, CHESTERTON IN 46304