Indiana
Professional Licensing Agency
Kenneth James Allen
Controlled Substance Registration - Dentist
License number
12011867B
Date granted
11/13/2012
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
7891 Boradway, Ste C, Merrillville IN 46410
indianalicensing.org
ID 5111080
LAST UPDATED 2024-02-14 05:07:05 UTC
LAST UPDATED 2024-02-14 05:07:05 UTC
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