Indiana
Professional Licensing Agency
Kenton Lee Bailey
Controlled Substance Registration - Dentist
License number
12009002B
Date granted
07/07/1988
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
506 WEST SOUTH STREET, MONROEVILLE IN 46773
indianalicensing.org
ID 5112984
LAST UPDATED 2024-03-10 20:17:51 UTC
LAST UPDATED 2024-03-10 20:17:51 UTC
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