Indiana
Professional Licensing Agency
Carol J. Braun
Controlled Substance Registration - Dentist
License number
12008551B
Date granted
07/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
3430 West State Road 66, Rockport IN 47635
indianalicensing.org
ID 5120397
LAST UPDATED 2024-03-31 17:58:05 UTC
LAST UPDATED 2024-03-31 17:58:05 UTC
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