Indiana
Professional Licensing Agency
Michael E. Keller
Controlled Substance Registration - Dentist
License number
12008103B
Date granted
07/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
3200 Middle Road, Columbus IN 47203-2298
indianalicensing.org
ID 5088057
LAST UPDATED 2024-04-01 03:03:09 UTC
LAST UPDATED 2024-04-01 03:03:09 UTC
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