Indiana
Professional Licensing Agency
Richard William Economou
Controlled Substance Registration - Dentist
License number
12006445B
Date granted
06/30/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1010 Holly Lane, Munster IN 46321
indianalicensing.org
ID 5114998
LAST UPDATED 2024-05-18 00:01:56 UTC
LAST UPDATED 2024-05-18 00:01:56 UTC
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