Anh Thu Thi Khieu
Controlled Substance Registration - Dentist
Indiana 12010122B Expired
This Indiana license was held by Anh Thu Thi Khieu. The license is no longer active. It was granted on 04/22/1999 and expired on 03/01/2002
LICENSE DETAILS
- License Number: 12010122B
- Category: CSR-Dentist
- Status: Expired
- Date Granted: 04/22/1999 (about 25 years ago)
- Expiry Date: 03/01/2002 (over 22 years ago)
LOCATIONS
A Address
WARSAW FAMILY DENTISTRY, 1603 N DETROIT, WARSAW IN 46580