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
LAST UPDATED 2024-05-25 01:47:22 UTC
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