License holder summary

Kevin Anthony Deloria is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Kevin Anthony Deloria is Martinsville Dental Clinic, 1690 South Ohio Street, Martinsville IN 46151-3317. This licensed professional license is current. The license was granted 04/18/1991 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Kevin Anthony Deloria
Controlled Substance Registration - Dentist
License number
12009312B
Date granted
04/18/1991
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Martinsville Dental Clinic, 1690 South Ohio Street, Martinsville IN 46151-3317
indianalicensing.org
ID 5110328
LAST UPDATED 2024-04-04 04:14:26 UTC

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