Indiana
Professional Licensing Agency
Anjana Gupta
Controlled Substance Registration - Dentist
License number
12011039B
Date granted
09/04/2007
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
505 Vistula Street, Elkhart IN 46516
indianalicensing.org
ID 5090552
LAST UPDATED 2024-02-25 17:47:32 UTC
LAST UPDATED 2024-02-25 17:47:32 UTC
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