Kurt Matthew Halum
Controlled Substance Registration - Dentist
Indiana 12009620C Expired
This Indiana license was held by Kurt Matthew Halum. The license is no longer active. It was granted on 03/12/1996 and expired on 03/01/2000
LICENSE DETAILS
- License Number: 12009620C
- Category: CSR-Dentist
- Status: Expired
- Date Granted: 03/12/1996 (over 29 years ago)
- Expiry Date: 03/01/2000 (over 25 years ago)
LOCATIONS
A Address
PEDIATRIC DENTISTRY OF NORTHWEST INDIANA, 809 WALL STREET, VALPARAISO IN 46383