License holder summary

Kimberly Ann Koch is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Kimberly Ann Koch is Open Door BMH Health Center, 3715 S. Madison St., Muncie IN 47302. This licensed professional license is current. The license was granted 08/15/2002 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Kimberly Ann Koch
Controlled Substance Registration - Dentist
License number
12010451B
Date granted
08/15/2002
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Open Door BMH Health Center, 3715 S. Madison St., Muncie IN 47302
indianalicensing.org
ID 5114168
LAST UPDATED 2024-03-17 06:59:01 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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