License holder summary

Kelli Danielle Thiele is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Kelli Danielle Thiele is Angola Dental Center, 205 East Harcourt Road, Angola IN 46703. This licensed professional license is current. The license was granted 06/10/2013 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Kelli Danielle Thiele
Controlled Substance Registration - Dentist
License number
12011974B
Date granted
06/10/2013
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Angola Dental Center, 205 East Harcourt Road, Angola IN 46703
indianalicensing.org
ID 5081170
LAST UPDATED 2024-04-19 04:49:36 UTC

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