Indiana
Professional Licensing Agency
Kent Michael Gross
Controlled Substance Registration - Dentist
License number
12010892B
Date granted
08/16/2006
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Kool Smiles Dentistry, 1852 Bluffton Rd., Fort Wayne IN 46809
indianalicensing.org
ID 5095203
LAST UPDATED 2024-03-29 04:06:52 UTC
LAST UPDATED 2024-03-29 04:06:52 UTC
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