BETTY JEAN KOSS
Controlled Substance Registration - Dentist
Indiana 12004920B Expired
This Indiana license was held by BETTY JEAN KOSS. The license is no longer active. It was granted on 05/31/1986 and expired on 03/01/1994
LICENSE DETAILS
- License Number: 12004920B
- Category: CSR-Dentist
- Status: Expired
- Date Granted: 05/31/1986 (almost 39 years ago)
- Expiry Date: 03/01/1994 (about 31 years ago)
LOCATIONS
A Address
119 EAST MAIN STREET, MENTONE IN 46539