David James Kenworthy

Controlled Substance Registration - Dentist

Indiana  12006724B   Active

This Indiana license is held by David James Kenworthy. The license is currently active. It was granted on 05/31/1986 and expired on 03/01/2016

LICENSE DETAILS

  • License Number: 12006724B
  • Category: CSR-Dentist
  • Status: Active
  • Date Granted: 05/31/1986 (over 40 years ago)
  • Expiry Date: 03/01/2016 (over 10 years ago)

LOCATIONS

A Address

515 Woodscrest Drive, Bloomington IN 47401