Ricky Lavaughn Kime

Controlled Substance Registration - Physician

Indiana  01031273B   Expired

This Indiana license was held by Ricky Lavaughn Kime. The license is no longer active. It was granted on 09/08/1981 and expired on 09/30/1982

LICENSE DETAILS

  • License Number: 01031273B
  • Category: CSR-Physician
  • Status: Expired
  • Date Granted: 09/08/1981 (almost 45 years ago)
  • Expiry Date: 09/30/1982 (over 43 years ago)

LOCATIONS

A Address

2434 U S HIGHWAY #31, PLYMOUTH IN 46563