License holder summary

John J. Kussmaul, Jr is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for John J. Kussmaul, Jr is 123 WEST 12TH STREET, ANDERSON IN 46016. This licensed professional license is not current. The license was granted 10/10/1979 and expired on 11/30/1982.

Indiana

Professional Licensing Agency

John J. Kussmaul, Jr
Controlled Substance Registration - Dentist
License number
12007811B
Date granted
10/10/1979
Date expires
11/30/1982
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
123 WEST 12TH STREET, ANDERSON IN 46016
indianalicensing.org
ID 5080794
LAST UPDATED 2024-04-13 01:03:41 UTC

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