License holder summary

J Keith Lungren, Jr. is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for J Keith Lungren, Jr. is BX 687 115 WEST 4TH STREET, MONON IN 47959. This licensed professional license is not current. The license was granted 06/30/1986 and expired on 03/01/1992.

Indiana

Professional Licensing Agency

J Keith Lungren, Jr.
Controlled Substance Registration - Dentist
License number
12007489B
Date granted
06/30/1986
Date expires
03/01/1992
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
BX 687 115 WEST 4TH STREET, MONON IN 47959
indianalicensing.org
ID 5112918
LAST UPDATED 2024-05-25 01:47:22 UTC

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