KENNETH WM SIEGESMUND
Controlled Substance Registration - Dentist
Indiana 12004207B Expired
This Indiana license was held by KENNETH WM SIEGESMUND. The license is no longer active. It was granted on 01/31/1985 and expired on 03/01/1994
LICENSE DETAILS
- License Number: 12004207B
- Category: CSR-Dentist
- Status: Expired
- Date Granted: 01/31/1985 (over 40 years ago)
- Expiry Date: 03/01/1994 (over 31 years ago)
LOCATIONS
A Address
5699 EAST 71ST STREET, INDIANAPOLIS IN 46220