Indiana
Professional Licensing Agency
Keith L. Little
Controlled Substance Registration - Dentist
License number
12011260B
Date granted
01/29/2009
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Landmark Family Dental Care, 457 South Landmark Avenue, Bloomington IN 47403
indianalicensing.org
ID 5083231
LAST UPDATED 2024-03-23 16:23:12 UTC
LAST UPDATED 2024-03-23 16:23:12 UTC
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