Indiana
Professional Licensing Agency
Olga Isyutina
Controlled Substance Registration - Dentist
License number
12011795B
Date granted
07/20/2012
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
556 N Oak Drive, Plymouth IN 46563
indianalicensing.org
ID 5118966
LAST UPDATED 2024-04-24 23:05:06 UTC
LAST UPDATED 2024-04-24 23:05:06 UTC
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