J. Keith Roberts

Controlled Substance Registration - Dentist

Indiana  12005978B   Active

This Indiana license is held by J. Keith Roberts. The license is currently active. It was granted on 08/31/1986 and expired on 03/01/2016

LICENSE DETAILS

  • License Number: 12005978B
  • Category: CSR-Dentist
  • Status: Active
  • Date Granted: 08/31/1986 (over 38 years ago)
  • Expiry Date: 03/01/2016 (about 9 years ago)

LOCATIONS

A Address

828 AUTO MALL ROAD, BLOOMINGTON IN 47401