Indiana
Professional Licensing Agency
Janice Kaeley
Controlled Substance Registration - Dentist
License number
12011365B
Date granted
04/02/2013
Date expires
03/01/2014
Class
Controlled Substance Registration - Dentist
Status
Active
Address
7285 U.S. 32, New Palestine IN 46163
indianalicensing.org
ID 5116068
LAST UPDATED 2024-03-07 16:10:03 UTC
LAST UPDATED 2024-03-07 16:10:03 UTC
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