Indiana
Professional Licensing Agency
John Kingsbury
Controlled Substance Registration - Dentist
License number
12006310B
Date granted
05/31/1986
Date expires
03/01/2010
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
14 South Main Street, Fortville IN 46040
indianalicensing.org
ID 5096552
LAST UPDATED 2024-04-07 14:52:31 UTC
LAST UPDATED 2024-04-07 14:52:31 UTC
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