License holder summary

Kenneth Michael Fried is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Kenneth Michael Fried is 1332 119TH STREET, WHITING IN 46394. This licensed professional license is current. The license was granted 08/15/1989 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Kenneth Michael Fried
Controlled Substance Registration - Dentist
License number
12009174B
Date granted
08/15/1989
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1332 119TH STREET, WHITING IN 46394
indianalicensing.org
ID 5128203
LAST UPDATED 2024-04-13 06:55:34 UTC

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