Indiana
Professional Licensing Agency
KENT ELLWOOD EDWARDS
Controlled Substance Registration - Dentist
License number
12004769B
Date granted
06/30/1986
Date expires
03/01/1992
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
2314 MIAMI STREET, SOUTH BEND IN 46614
indianalicensing.org
ID 5123185
LAST UPDATED 2026-06-19 17:22:37 UTC
LAST UPDATED 2026-06-19 17:22:37 UTC
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