Kristin Tera Wiseman
Controlled Substance Registration - Dentist
Indiana 12010794B Expired
This Indiana license was held by Kristin Tera Wiseman. The license is no longer active. It was granted on 11/16/2005 and expired on 03/01/2008
LICENSE DETAILS
- License Number: 12010794B
- Category: CSR-Dentist
- Status: Expired
- Date Granted: 11/16/2005 (over 18 years ago)
- Expiry Date: 03/01/2008 (over 16 years ago)
LOCATIONS
A Address
712 W. Main St., Ste #100, Plainfield IN 46168