Indiana
Professional Licensing Agency
Angela G. Burke
Controlled Substance Registration - Dentist
License number
12009907B
Date granted
12/11/1996
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1607 Chester Blvd., Richmond IN 47374-1610
indianalicensing.org
ID 5119716
LAST UPDATED 2024-05-04 18:01:28 UTC
LAST UPDATED 2024-05-04 18:01:28 UTC
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