Indiana
Professional Licensing Agency
Melissa E. Kenfield
Controlled Substance Registration - Dentist
License number
12011101B
Date granted
05/23/2008
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
9247 Broadway, Suite C, Merrillville IN 46410
indianalicensing.org
ID 5111176
LAST UPDATED 2024-03-13 12:41:14 UTC
LAST UPDATED 2024-03-13 12:41:14 UTC
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