Indiana
Professional Licensing Agency
Keith Alan Alvarez
Controlled Substance Registration - Dentist
License number
12009841B
Date granted
07/15/1996
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1185 West Carmel Drive, Suite D2, Carmel IN 46032-8708
indianalicensing.org
ID 5085634
LAST UPDATED 2024-04-15 04:03:36 UTC
LAST UPDATED 2024-04-15 04:03:36 UTC
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