John J. Kussmaul, Jr
Controlled Substance Registration - Dentist
Indiana 12007811B Expired
This Indiana license was held by John J. Kussmaul, Jr. The license is no longer active. It was granted on 10/10/1979 and expired on 11/30/1982
LICENSE DETAILS
- License Number: 12007811B
- Category: CSR-Dentist
- Status: Expired
- Date Granted: 10/10/1979 (over 45 years ago)
- Expiry Date: 11/30/1982 (over 42 years ago)
LOCATIONS
A Address
123 WEST 12TH STREET, ANDERSON IN 46016