Indiana
Professional Licensing Agency
Joseph William Keck
Controlled Substance Registration - Dentist
License number
12011437B
Date granted
08/11/2010
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Aspen Dental, 3363 South U.S. Hwy 41, Terre Haute IN 47802
indianalicensing.org
ID 5125067
LAST UPDATED 2024-05-10 18:40:30 UTC
LAST UPDATED 2024-05-10 18:40:30 UTC
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