Indiana
Professional Licensing Agency
Myrna Ivelisse Janer
Controlled Substance Registration - Dentist
License number
12010005B
Date granted
06/22/1998
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
409 North Peru St., Cicero IN 46034
indianalicensing.org
ID 5086751
LAST UPDATED 2024-02-29 17:27:58 UTC
LAST UPDATED 2024-02-29 17:27:58 UTC
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