License holder summary

Anh Thu Thi Khieu is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Anh Thu Thi Khieu is WARSAW FAMILY DENTISTRY, 1603 N DETROIT, WARSAW IN 46580. This licensed professional license is not current. The license was granted 04/22/1999 and expired on 03/01/2002.

Indiana

Professional Licensing Agency

Anh Thu Thi Khieu
Controlled Substance Registration - Dentist
License number
12010122B
Date granted
04/22/1999
Date expires
03/01/2002
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
WARSAW FAMILY DENTISTRY, 1603 N DETROIT, WARSAW IN 46580
indianalicensing.org
ID 5127025
LAST UPDATED 2024-04-15 05:46:11 UTC

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