Indiana
Professional Licensing Agency
Stuart Glen Kelly
Controlled Substance Registration - Dentist
License number
12008239B
Date granted
07/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
117 MULBERRY STREET, MARION IN 46953
indianalicensing.org
ID 5110281
LAST UPDATED 2024-04-19 16:48:16 UTC
LAST UPDATED 2024-04-19 16:48:16 UTC
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