Indiana
Professional Licensing Agency
Melody Miller Richardson
Controlled Substance Registration - Dentist
License number
12009144B
Date granted
08/18/1989
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
63 WEST SIXTH STREET, PERU IN 46970
indianalicensing.org
ID 5118302
LAST UPDATED 2024-02-19 05:14:55 UTC
LAST UPDATED 2024-02-19 05:14:55 UTC
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