Indiana
Professional Licensing Agency
Linda H. Kim
Controlled Substance Registration - Dentist
License number
12010017B
Date granted
06/23/1999
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
5764 Whippoorwill Way, Carmel IN 46033-8963
indianalicensing.org
ID 5085708
LAST UPDATED 2024-02-06 12:51:11 UTC
LAST UPDATED 2024-02-06 12:51:11 UTC
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