License holder summary

Keith Wayne Hodgkin is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Keith Wayne Hodgkin is 3041 E. Main Street, Richmond IN 47374. This licensed professional license is not current. The license was granted 06/30/1986 and expired on 03/01/2006.

Indiana

Professional Licensing Agency

Keith Wayne Hodgkin
Controlled Substance Registration - Dentist
License number
12008396B
Date granted
06/30/1986
Date expires
03/01/2006
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
3041 E. Main Street, Richmond IN 47374
indianalicensing.org
ID 5119960
LAST UPDATED 2024-05-10 20:33:16 UTC

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