Indiana
Professional Licensing Agency
Jaime Kathleen Baker
Controlled Substance Registration - Dentist
License number
12010999B
Date granted
06/14/2007
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Osceola Dental Care, 103 Osceola Avenue, Osceola IN 46561-2209
indianalicensing.org
ID 5117582
LAST UPDATED 2024-04-20 21:11:44 UTC
LAST UPDATED 2024-04-20 21:11:44 UTC
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