License holder summary

Tyler Jerome Kimmel is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Tyler Jerome Kimmel is Neighborhood Health Clinics, Inc., 1717 South Calhoun Street, Fort Wayne IN 46802. This licensed professional license is current. The license was granted 05/16/2013 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Tyler Jerome Kimmel
Controlled Substance Registration - Dentist
License number
12011939B
Date granted
05/16/2013
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Neighborhood Health Clinics, Inc., 1717 South Calhoun Street, Fort Wayne IN 46802
indianalicensing.org
ID 5096392
LAST UPDATED 2024-05-10 12:12:24 UTC

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