John J. Kussmaul, Jr

Controlled Substance Registration - Dentist

Indiana  12007811C   Active

This Indiana license is held by John J. Kussmaul, Jr. The license is currently active. It was granted on 06/10/2004 and expired on 03/01/2016

LICENSE DETAILS

  • License Number: 12007811C
  • Category: CSR-Dentist
  • Status: Active
  • Date Granted: 06/10/2004 (about 21 years ago)
  • Expiry Date: 03/01/2016 (over 9 years ago)

LOCATIONS

A Address

Illiana Endodontics, Inc., 934 Richard Road, Dyer IN 46311