Kimberley Lucretia Tolliver
Controlled Substance Registration-Osteopathic Physician
Indiana 02002020B Expired
This Indiana license was held by Kimberley Lucretia Tolliver. The license is no longer active. It was granted on 11/02/1998 and expired on 06/30/2003
LICENSE DETAILS
- License Number: 02002020B
- Category: CSR-Osteopathic Physician
- Status: Expired
- Date Granted: 11/02/1998 (over 25 years ago)
- Expiry Date: 06/30/2003 (almost 21 years ago)
LOCATIONS
A Address
VALPARIASO HEALTH CENTER, 1700 POINTE DRIVE STE 103, VALPARAISO IN 46383