Indiana
Professional Licensing Agency
Stephanie Allen
Controlled Substance Registration - Dentist
License number
12011440B
Date granted
05/24/2010
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Charlestown Road Dental, 3739 Charlestown Road, New Albany IN 47150
indianalicensing.org
ID 5115656
LAST UPDATED 2024-03-20 03:32:13 UTC
LAST UPDATED 2024-03-20 03:32:13 UTC
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