Indiana
Professional Licensing Agency
TIMOTHY J KOOB
Dental Intern Permit
License number
42000081A
Date granted
07/07/1995
Date expires
07/08/1999
Class
Dental Intern Permit
Status
Expired
Address
GREENWOOD IN 46143
indianalicensing.org
ID 5259455
LAST UPDATED 2024-02-15 01:26:47 UTC
LAST UPDATED 2024-02-15 01:26:47 UTC
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