Indiana
Professional Licensing Agency
Krieger Webb Brasseale
Controlled Substance Registration - Dentist
License number
12010141B
Date granted
07/21/1999
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1449 Kimber Lane, Suite 103A, Evansville IN 47715-4067
indianalicensing.org
ID 5092336
LAST UPDATED 2024-02-16 13:09:49 UTC
LAST UPDATED 2024-02-16 13:09:49 UTC
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