Indiana
Professional Licensing Agency
Maritza Olivos Jenkins
Controlled Substance Registration - Dentist
License number
12009822B
Date granted
11/02/1995
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
3823 East Morgan Avenue, Evansville IN 47715-2241
indianalicensing.org
ID 5092385
LAST UPDATED 2024-04-08 13:24:22 UTC
LAST UPDATED 2024-04-08 13:24:22 UTC
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