Indiana
Professional Licensing Agency
Allison Nicole Harris Gardiner
Controlled Substance Registration - Dentist
License number
12011631B
Date granted
06/09/2011
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Kool Smiles, 1800 Fort Harrison Road, Terre Haute IN 47804
indianalicensing.org
ID 5124688
LAST UPDATED 2024-02-19 04:23:21 UTC
LAST UPDATED 2024-02-19 04:23:21 UTC
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