Michael G Kelley

Controlled Substance Registration - Dentist

Indiana  12007484B   Expired

This Indiana license was held by Michael G Kelley. The license is no longer active. It was granted on 03/08/1988 and expired on 03/01/2004

LICENSE DETAILS

  • License Number: 12007484B
  • Category: CSR-Dentist
  • Status: Expired
  • Date Granted: 03/08/1988 (about 37 years ago)
  • Expiry Date: 03/01/2004 (about 21 years ago)

LOCATIONS

A Address

6296 Rucker Road, Ste A, Indianapolis IN 46220