Dana L. Kingma
Apn Prescriptive Authority
Indiana 71004048A Active
This Indiana license is held by Dana L. Kingma. The license is currently active. It was granted on 07/24/2012 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 71004048A
- Category: APN Prescriptive Authority
- Status: Active
- Date Granted: 07/24/2012 (almost 14 years ago)
- Expiry Date: 10/31/2015 (over 10 years ago)
LOCATIONS
A Address
Westfield IN 46074