Indiana
Professional Licensing Agency
EDGAR KENNETH DEJEAN
Controlled Substance Registration - Dentist
License number
12004509B
Date granted
10/31/1984
Date expires
03/01/1996
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
1888 NORTH STATE ROAD 135, SALEM IN 47167
indianalicensing.org
ID 5121203
LAST UPDATED 2024-01-15 07:56:22 UTC
LAST UPDATED 2024-01-15 07:56:22 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.