Indiana
Professional Licensing Agency
Kim Badell Wilson
Controlled Substance Registration - Dentist
License number
12008245B
Date granted
07/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
288 NORTHWOOD AVENUE, JASPER IN 47546
indianalicensing.org
ID 5105055
LAST UPDATED 2024-03-07 19:28:43 UTC
LAST UPDATED 2024-03-07 19:28:43 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.