Indiana
Professional Licensing Agency
Kimberly Lynn Porapaiboon
Controlled Substance Registration - Dentist
License number
12010587B
Date granted
06/21/2004
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
7863 Broadway Ste 111, Merrillville IN 46410
indianalicensing.org
ID 5111105
LAST UPDATED 2024-04-12 04:50:34 UTC
LAST UPDATED 2024-04-12 04:50:34 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.