Indiana
Professional Licensing Agency
Anne Wilmore
Controlled Substance Registration - Dentist
License number
12010689B
Date granted
08/12/2005
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Smith Family Dentistry, 114 Fourth Street, Tipton IN 46072
indianalicensing.org
ID 5125434
LAST UPDATED 2024-02-24 03:37:05 UTC
LAST UPDATED 2024-02-24 03:37:05 UTC
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