License holder summary

Keith Allen Brooks is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Keith Allen Brooks is AMERICAN FAMILY ORTHODONTIC CENTERS, 3120 BLACKISTON MILL ROAD, NEW ALBANY IN 47150. This licensed professional license is not current. The license was granted 12/11/1995 and expired on 03/01/2006.

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

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