Indiana
Professional Licensing Agency
Keith Brian Douts, Jr.
Controlled Substance Registration - Dentist
License number
12011663B
Date granted
06/27/2011
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Friendly Dental Care, 8079 Madison Road, Merrillville IN 46410
indianalicensing.org
ID 5111073
LAST UPDATED 2024-04-23 00:02:24 UTC
LAST UPDATED 2024-04-23 00:02:24 UTC
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