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
LAST UPDATED 2024-04-19 04:49:36 UTC
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