Indiana
Professional Licensing Agency
Alexander M. Balaban
Controlled Substance Registration - Dentist
License number
12010434B
Date granted
07/29/2002
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
13590B North Meridian Street, Suite 101, Carmel IN 46032-1406
indianalicensing.org
ID 5085225
LAST UPDATED 2024-03-20 12:04:26 UTC
LAST UPDATED 2024-03-20 12:04:26 UTC
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