Kimberly Ann Koch
Controlled Substance Registration - Dentist
Indiana 12010451B Active
This Indiana license is held by Kimberly Ann Koch. The license is currently active. It was granted on 08/15/2002 and expired on 03/01/2016
LICENSE DETAILS
- License Number: 12010451B
- Category: CSR-Dentist
- Status: Active
- Date Granted: 08/15/2002 (over 22 years ago)
- Expiry Date: 03/01/2016 (about 9 years ago)
LOCATIONS
A Address
Open Door BMH Health Center, 3715 S. Madison St., Muncie IN 47302
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