John J. Kussmaul, Jr

Controlled Substance Registration - Dentist

Indiana  12007811D   Expired

This Indiana license was held by John J. Kussmaul, Jr. The license is no longer active. It was granted on 08/17/2004 and expired on 03/01/2010

LICENSE DETAILS

  • License Number: 12007811D
  • Category: CSR-Dentist
  • Status: Expired
  • Date Granted: 08/17/2004 (over 20 years ago)
  • Expiry Date: 03/01/2010 (about 15 years ago)

LOCATIONS

A Address

Endodontics, Inc, 8679 Conn. St., Merrillville IN 46410