License holder summary

Thomas Michael Kennedy is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Thomas Michael Kennedy is 1261 Cliffty Hollow Road, Madison IN 47250. This licensed professional license is current. The license was granted 10/31/1986 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Thomas Michael Kennedy
Controlled Substance Registration - Dentist
License number
12007951B
Date granted
10/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1261 Cliffty Hollow Road, Madison IN 47250
indianalicensing.org
ID 5109797
LAST UPDATED 2024-02-25 19:29:43 UTC

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