License holder summary

Keith Macer Broshears is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Keith Macer Broshears is P O BOX 675, 290 A STREET SOUTH EAST, LINTON IN 47441. This licensed professional license is not current. The license was granted 07/31/1986 and expired on 03/01/2010.

Indiana

Professional Licensing Agency

Keith Macer Broshears
Controlled Substance Registration - Dentist
License number
12007325B
Date granted
07/31/1986
Date expires
03/01/2010
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
P O BOX 675, 290 A STREET SOUTH EAST, LINTON IN 47441
indianalicensing.org
ID 5108988
LAST UPDATED 2024-03-03 04:21:50 UTC

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