Indiana
Professional Licensing Agency
Kenneth E. Braun
Controlled Substance Registration - Dentist
License number
12008552B
Date granted
07/31/1986
Date expires
03/01/2012
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
3430 West State Road 66, Rockport IN 47635
indianalicensing.org
ID 5120432
LAST UPDATED 2024-03-26 05:36:26 UTC
LAST UPDATED 2024-03-26 05:36:26 UTC
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