Indiana
Professional Licensing Agency
Todd Edward Stipp
Controlled Substance Registration - Dentist
License number
12009046B
Date granted
06/27/1988
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
115 E. Main St., Worthington IN 47471
indianalicensing.org
ID 5128676
LAST UPDATED 2024-03-17 16:31:17 UTC
LAST UPDATED 2024-03-17 16:31:17 UTC
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