Indiana
Professional Licensing Agency
Dennis L. Church
Controlled Substance Registration - Dentist
License number
12007767B
Date granted
07/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
213 NORTH 16TH ST, ELWOOD IN 46036
indianalicensing.org
ID 5091198
LAST UPDATED 2024-03-22 08:45:18 UTC
LAST UPDATED 2024-03-22 08:45:18 UTC
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