Indiana
Professional Licensing Agency
Kimberly Eastlund Kaboos
Controlled Substance Registration - Dentist
License number
12010164B
Date granted
08/27/1999
Date expires
03/01/2010
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
4396 Schmidler Drive, Westfield IN 46074-8482
indianalicensing.org
ID 5127889
LAST UPDATED 2024-04-02 20:05:04 UTC
LAST UPDATED 2024-04-02 20:05:04 UTC
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