Indiana
Professional Licensing Agency
Edna Faye Kemp
Controlled Substance Registration - Dentist
License number
12009358B
Date granted
07/29/1991
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
5660 CAITO DR STE 103 BLDG 3, INDIANAPOLIS IN 46226
indianalicensing.org
ID 5102216
LAST UPDATED 2024-02-23 03:04:43 UTC
LAST UPDATED 2024-02-23 03:04:43 UTC
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