Indiana
Professional Licensing Agency
Erica Zolnierczyk
Controlled Substance Registration - Dentist
License number
12011750B
Date granted
11/01/2011
Date expires
03/01/2014
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
890 Richard Road, Dyer IN 46311
indianalicensing.org
ID 5089954
LAST UPDATED 2024-05-06 10:17:49 UTC
LAST UPDATED 2024-05-06 10:17:49 UTC
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