Indiana
Professional Licensing Agency
Robert Louis Ketcham
Controlled Substance Registration - Dentist
License number
12006504B
Date granted
05/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Orthodontic Specialty Services c/o Rita, 1120 East Dupont Road, Fort Wayne IN 46825
indianalicensing.org
ID 5095742
LAST UPDATED 2024-04-11 04:59:11 UTC
LAST UPDATED 2024-04-11 04:59:11 UTC
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