Krishna Prasad Colluru
Controlled Substance Registration - Dentist
Indiana 12011195B Expired
This Indiana license was held by Krishna Prasad Colluru. The license is no longer active. It was granted on 09/29/2008 and expired on 03/01/2010
LICENSE DETAILS
- License Number: 12011195B
- Category: CSR-Dentist
- Status: Expired
- Date Granted: 09/29/2008 (almost 17 years ago)
- Expiry Date: 03/01/2010 (over 15 years ago)
LOCATIONS
A Address
Aspen Dental, 720 East Coliseum Boulevard, Fort Wayne IN 46805