Indiana
Professional Licensing Agency
Sung H. Kong
Controlled Substance Registration - Dentist
License number
12010747B
Date granted
07/06/2005
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Bright Smile Dental Care, 11530 Allisonville Road, Suite 175, Fishers IN 46038
indianalicensing.org
ID 5093893
LAST UPDATED 2024-03-21 01:57:14 UTC
LAST UPDATED 2024-03-21 01:57:14 UTC
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