License holder summary

Kelly Cathryn Terranova is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Kelly Cathryn Terranova is 1290 East Ireland Road, South Bend IN 46614. This licensed professional license is current. The license was granted 08/24/2009 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Kelly Cathryn Terranova
Controlled Substance Registration - Dentist
License number
12011359B
Date granted
08/24/2009
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1290 East Ireland Road, South Bend IN 46614
indianalicensing.org
ID 5123174
LAST UPDATED 2024-01-12 17:05:23 UTC

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