Indiana
Professional Licensing Agency
Adrienne R. Rupright
Controlled Substance Registration - Dentist
License number
12010760B
Date granted
10/06/2005
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
5327 South Bend Drive, Fort Wayne IN 46804
indianalicensing.org
ID 5094096
LAST UPDATED 2024-02-20 14:05:52 UTC
LAST UPDATED 2024-02-20 14:05:52 UTC
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