Indiana
Professional Licensing Agency
Phillip William Kolb
Controlled Substance Registration - Dentist
License number
12006066B
Date granted
05/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
P.O. Box 167, 602 West Locust Street, BOONVILLE IN 47601
indianalicensing.org
ID 5083827
LAST UPDATED 2024-02-20 17:21:39 UTC
LAST UPDATED 2024-02-20 17:21:39 UTC
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