Indiana
Professional Licensing Agency
Elaine H. Coghlan
Controlled Substance Registration - Dentist
License number
12008909B
Date granted
05/16/1988
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
312 South Swain Avenue, Bloomington IN 47401-3723
indianalicensing.org
ID 5082966
LAST UPDATED 2024-03-01 10:14:22 UTC
LAST UPDATED 2024-03-01 10:14:22 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.