Indiana
Professional Licensing Agency
Kerry R. Knape
Controlled Substance Registration - Dentist
License number
12007875B
Date granted
07/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
P.O. Box 521, 100 South Main Street, North Liberty IN 46554
indianalicensing.org
ID 5117035
LAST UPDATED 2024-05-07 14:54:24 UTC
LAST UPDATED 2024-05-07 14:54:24 UTC
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