Indiana
Professional Licensing Agency
David James Kenworthy
Controlled Substance Registration - Dentist
License number
12006724B
Date granted
05/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
515 Woodscrest Drive, Bloomington IN 47401
indianalicensing.org
ID 5082902
LAST UPDATED 2024-04-27 21:06:35 UTC
LAST UPDATED 2024-04-27 21:06:35 UTC
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