Indiana
Professional Licensing Agency
Kevin James Deakyne
Controlled Substance Registration - Dentist
License number
12008898B
Date granted
07/07/1987
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
P.O. Box 307, 470 Bennett Drive, Suite A, Warren IN 46792
indianalicensing.org
ID 5126995
LAST UPDATED 2024-03-04 11:39:20 UTC
LAST UPDATED 2024-03-04 11:39:20 UTC
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