Indiana
Professional Licensing Agency
Alejandra Spir Haddad
Controlled Substance Registration - Dentist
License number
12009636B
Date granted
11/16/1994
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
700 South College Avenue, Suite C, Bloomington IN 47403-2512
indianalicensing.org
ID 5082775
LAST UPDATED 2024-04-11 01:06:50 UTC
LAST UPDATED 2024-04-11 01:06:50 UTC
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