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
LAST UPDATED 2024-03-31 08:56:37 UTC
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