Indiana
Professional Licensing Agency
Duane James Cibock
Controlled Substance Registration - Dentist
License number
12005761B
Date granted
11/30/1985
Date expires
03/01/2002
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
5948 EVERGREEN, PORTAGE IN 46368
indianalicensing.org
ID 5119075
LAST UPDATED 2024-04-01 02:00:09 UTC
LAST UPDATED 2024-04-01 02:00:09 UTC
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