Indiana
Professional Licensing Agency
John M. Cronkhite
Controlled Substance Registration - Dentist
License number
12010734B
Date granted
10/18/2005
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
3667 Braddock Dr. Ste B, Lafayette IN 47909
indianalicensing.org
ID 5107608
LAST UPDATED 2024-03-25 02:01:34 UTC
LAST UPDATED 2024-03-25 02:01:34 UTC
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