Indiana
Professional Licensing Agency
Mitra Nikpour
Controlled Substance Registration - Dentist
License number
12011731B
Date granted
10/17/2011
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Anderson Dental Center, 1537 South Scatterfield, Anderson IN 46016
indianalicensing.org
ID 5080875
LAST UPDATED 2024-03-21 14:49:27 UTC
LAST UPDATED 2024-03-21 14:49:27 UTC
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