License holder summary

Kenton Alan Susott is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Kenton Alan Susott is 3916 SHORE DR, INDIANAPOLIS IN 46254. This licensed professional license is not current. The license was granted 01/31/1986 and expired on 03/01/2004.

Indiana

Professional Licensing Agency

Kenton Alan Susott
Controlled Substance Registration - Dentist
License number
12006912B
Date granted
01/31/1986
Date expires
03/01/2004
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
3916 SHORE DR, INDIANAPOLIS IN 46254
indianalicensing.org
ID 5103270
LAST UPDATED 2024-03-21 00:27:59 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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