Indiana
Professional Licensing Agency
Judith Ann Culver
Controlled Substance Registration - Dentist
License number
12009803B
Date granted
08/10/1995
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
412 West Walnut Street, Kokomo IN 46901-8407
indianalicensing.org
ID 5106506
LAST UPDATED 2024-03-28 22:37:57 UTC
LAST UPDATED 2024-03-28 22:37:57 UTC
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