License holder summary

KENT ELLWOOD EDWARDS is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for KENT ELLWOOD EDWARDS is 2314 MIAMI STREET, SOUTH BEND IN 46614. This licensed professional license is not current. The license was granted 06/30/1986 and expired on 03/01/1992.

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 2024-02-10 13:42:09 UTC

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