KIMBERLY FLORENTINE PERRY
Controlled Substance Registration - Physician
Indiana 01045170B Active
This Indiana license is held by KIMBERLY FLORENTINE PERRY. The license is currently active. It was granted on 05/23/1996 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01045170B
- Category: CSR-Physician
- Status: Active
- Date Granted: 05/23/1996 (about 30 years ago)
- Expiry Date: 10/31/2015 (over 10 years ago)
LOCATIONS
A Address
PORTAGE MEDICAL GROUP, 3630 WILLOWCREED ROAD, PORTAGE IN 46368
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