Kimberly Rose Mauller

Controlled Substance Registration - Physician

Indiana  01047281C   Expired

This Indiana license was held by Kimberly Rose Mauller. The license is no longer active. It was granted on 10/27/1999 and expired on 06/30/2001

LICENSE DETAILS

  • License Number: 01047281C
  • Category: CSR-Physician
  • Status: Expired
  • Date Granted: 10/27/1999 (almost 27 years ago)
  • Expiry Date: 06/30/2001 (about 25 years ago)

LOCATIONS

A Address

DALEVILLE HEALTH & DIAGNOSTIC, 14529 W DAVIS DR, DALEVILLE IN 47334