Indiana
Professional Licensing Agency
Janniece R. Brown
Controlled Substance Registration - Dentist
License number
12009337B
Date granted
07/10/1991
Date expires
03/01/1992
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
C / O DEREK STEPHENS D D S, 637 SOUTH LAKE ST, GARY IN 46403
indianalicensing.org
ID 5097589
LAST UPDATED 2024-03-30 09:59:29 UTC
LAST UPDATED 2024-03-30 09:59:29 UTC
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