Kristen S. Ingram

Controlled Substance Registration - Physician

Indiana  01060058B   Active

This Indiana license is held by Kristen S. Ingram. The license is currently active. It was granted on 07/08/2005 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01060058B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 07/08/2005 (almost 21 years ago)
  • Expiry Date: 10/31/2015 (over 10 years ago)

LOCATIONS

A Address

7820 South Voyles Road, Pekin IN 47165