Indiana
Professional Licensing Agency
Keith Allen Brooks
Controlled Substance Registration - Dentist
License number
12009740B
Date granted
12/11/1995
Date expires
03/01/2006
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
AMERICAN FAMILY ORTHODONTIC CENTERS, 3120 BLACKISTON MILL ROAD, NEW ALBANY IN 47150
indianalicensing.org
ID 5115335
LAST UPDATED 2024-03-11 00:52:15 UTC
LAST UPDATED 2024-03-11 00:52:15 UTC
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