License holder summary

Anne Elizabeth Myers Neitzke is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Anne Elizabeth Myers Neitzke is Knightstown Gentle Dentist, 439 North McCullum Street., Knightstown IN 46148-1138. This licensed professional license is current. The license was granted 11/22/1996 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Anne Elizabeth Myers Neitzke
Controlled Substance Registration - Dentist
License number
12009916B
Date granted
11/22/1996
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Knightstown Gentle Dentist, 439 North McCullum Street., Knightstown IN 46148-1138
indianalicensing.org
ID 5105994
LAST UPDATED 2024-04-13 19:21:56 UTC

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