Indiana
Professional Licensing Agency
Archana Gutta
Controlled Substance Registration - Dentist
License number
12011555B
Date granted
11/22/2010
Date expires
03/01/2014
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
Kool Smiles Inc., 1800 Fort Harrison Road, Terre Haute IN 47804
indianalicensing.org
ID 5124737
LAST UPDATED 2024-04-01 19:47:19 UTC
LAST UPDATED 2024-04-01 19:47:19 UTC
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