Indiana
Professional Licensing Agency
Rachel Ann Poulsen
Controlled Substance Registration - Dentist
License number
12011310B
Date granted
06/18/2010
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Princess City Dental Care, 2006 North Main Street, Mishawaka IN 46545
indianalicensing.org
ID 5112662
LAST UPDATED 2024-03-22 05:25:05 UTC
LAST UPDATED 2024-03-22 05:25:05 UTC
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