Indiana
Professional Licensing Agency
Kevin Anthony Deardorf
Controlled Substance Registration - Dentist
License number
12008684C
Date granted
10/08/2004
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Indianapolis Endodontics, PC, 8102 Kingston Street , Suite 500, Avon IN 46123-9594
indianalicensing.org
ID 5081998
LAST UPDATED 2024-05-11 12:22:11 UTC
LAST UPDATED 2024-05-11 12:22:11 UTC
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