Indiana
Professional Licensing Agency
Christopher Todd Kirkup
Controlled Substance Registration - Dentist
License number
12010847E
Date granted
03/06/2008
Date expires
03/01/2010
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
Indiana Oral and Maxillofacial Surgery Associates, 8102 Kingston Street, Suite 400, Avon IN 46123
indianalicensing.org
ID 5081823
LAST UPDATED 2024-05-02 11:51:38 UTC
LAST UPDATED 2024-05-02 11:51:38 UTC
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