Indiana
Professional Licensing Agency
Kenneth Bradford Rundle
Controlled Substance Registration - Dentist
License number
12010884B
Date granted
05/10/2007
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
8840 Calumet Avenue, Suite 104, Munster IN 46321
indianalicensing.org
ID 5114890
LAST UPDATED 2024-05-01 02:23:33 UTC
LAST UPDATED 2024-05-01 02:23:33 UTC
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