Indiana
Professional Licensing Agency
Michael G Kelley
Controlled Substance Registration - Dentist
License number
12007484B
Date granted
03/08/1988
Date expires
03/01/2004
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
6296 Rucker Road, Ste A, Indianapolis IN 46220
indianalicensing.org
ID 5103636
LAST UPDATED 2024-04-23 05:33:21 UTC
LAST UPDATED 2024-04-23 05:33:21 UTC
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