Indiana
Professional Licensing Agency
Terry Leo Baker
Controlled Substance Registration - Dentist
License number
12007836B
Date granted
07/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
6496 NORTH PIQUA ROAD, DECATUR IN 46733
indianalicensing.org
ID 5089459
LAST UPDATED 2024-04-22 21:44:37 UTC
LAST UPDATED 2024-04-22 21:44:37 UTC
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