Indiana
Professional Licensing Agency
Erin Evans
Controlled Substance Registration - Dentist
License number
12009230B
Date granted
07/11/1990
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1721 S. 9th Street, Lafayette IN 47905
indianalicensing.org
ID 5107456
LAST UPDATED 2024-02-16 11:17:55 UTC
LAST UPDATED 2024-02-16 11:17:55 UTC
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