Indiana
Professional Licensing Agency
Christie Lant
Controlled Substance Registration - Dentist
License number
12010692B
Date granted
10/15/2004
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Compassion for Caring, 5408 North Johnson Road, Michigan City IN 46360
indianalicensing.org
ID 5111589
LAST UPDATED 2024-03-02 12:01:07 UTC
LAST UPDATED 2024-03-02 12:01:07 UTC
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