License holder summary

Kenneth Eugene Wach is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Kenneth Eugene Wach is ImmediaDent, 1160 E. Lewis and Clark Pkway, Clarksville IN 47129. This licensed professional license is current. The license was granted 03/04/2013 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Kenneth Eugene Wach
Controlled Substance Registration - Dentist
License number
12011804B
Date granted
03/04/2013
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
ImmediaDent, 1160 E. Lewis and Clark Pkway, Clarksville IN 47129
indianalicensing.org
ID 5087048
LAST UPDATED 2024-03-31 08:56:37 UTC

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