Indiana
Professional Licensing Agency
Philip M. McKean
Controlled Substance Registration - Dentist
License number
12007040B
Date granted
12/31/1985
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
6605 East State Blvd., Suite 7, Fort Wayne IN 46815
indianalicensing.org
ID 5095568
LAST UPDATED 2024-02-14 17:45:45 UTC
LAST UPDATED 2024-02-14 17:45:45 UTC
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