License holder summary

KENNETH WM SIEGESMUND is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for KENNETH WM SIEGESMUND is 5699 EAST 71ST STREET, INDIANAPOLIS IN 46220. This licensed professional license is not current. The license was granted 01/31/1985 and expired on 03/01/1994.

Indiana

Professional Licensing Agency

KENNETH WM SIEGESMUND
Controlled Substance Registration - Dentist
License number
12004207B
Date granted
01/31/1985
Date expires
03/01/1994
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
5699 EAST 71ST STREET, INDIANAPOLIS IN 46220
indianalicensing.org
ID 5103242
LAST UPDATED 2024-04-26 22:26:19 UTC

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