License holder summary

BETTY JEAN KOSS is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for BETTY JEAN KOSS is 119 EAST MAIN STREET, MENTONE IN 46539. This licensed professional license is not current. The license was granted 05/31/1986 and expired on 03/01/1994.

Indiana

Professional Licensing Agency

BETTY JEAN KOSS
Controlled Substance Registration - Dentist
License number
12004920B
Date granted
05/31/1986
Date expires
03/01/1994
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
119 EAST MAIN STREET, MENTONE IN 46539
indianalicensing.org
ID 5110626
LAST UPDATED 2024-02-16 12:32:47 UTC

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