License holder summary

Doreen Yeboah Agyeman is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Doreen Yeboah Agyeman is Kool Smiles, 1852 Bluffton Road, Fort Wayne IN 46809. This licensed professional license is current. The license was granted 12/17/2010 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Doreen Yeboah Agyeman
Controlled Substance Registration - Dentist
License number
12011564B
Date granted
12/17/2010
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Kool Smiles, 1852 Bluffton Road, Fort Wayne IN 46809
indianalicensing.org
ID 5094574
LAST UPDATED 2024-02-21 05:07:47 UTC

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