Indiana
Professional Licensing Agency
Leo John Koenig
Controlled Substance Registration - Dentist
License number
12005559B
Date granted
05/31/1986
Date expires
03/01/2008
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
23943 U.S. 33 E., Elkhart IN 46517
indianalicensing.org
ID 5090819
LAST UPDATED 2024-02-28 03:47:37 UTC
LAST UPDATED 2024-02-28 03:47:37 UTC
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