Indiana
Professional Licensing Agency
Robert J. Behrend
Controlled Substance Registration - Dentist
License number
12009847B
Date granted
07/12/1996
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
2005 Roosevelt Road, Suite B, Valparaiso IN 46383-2746
indianalicensing.org
ID 5126344
LAST UPDATED 2024-04-21 15:34:32 UTC
LAST UPDATED 2024-04-21 15:34:32 UTC
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