License holder summary

Kevin Fatland is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Kevin Fatland is 7725 Broadway Suite H, Merrillville IN 46410. This licensed professional license is not current. The license was granted 10/06/2004 and expired on 03/01/2010.

Indiana

Professional Licensing Agency

Kevin Fatland
Controlled Substance Registration - Dentist
License number
12010455B
Date granted
10/06/2004
Date expires
03/01/2010
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
7725 Broadway Suite H, Merrillville IN 46410
indianalicensing.org
ID 5111099
LAST UPDATED 2024-01-26 15:54:25 UTC

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