Indiana
Professional Licensing Agency
Alyssa Ann Dykgraaf
Controlled Substance Registration - Dentist
License number
12011495B
Date granted
06/21/2010
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Mortenson Family Dental Center, Inc., 2917 Highway 62, Jeffersonville IN 47130
indianalicensing.org
ID 5105210
LAST UPDATED 2024-03-23 23:38:43 UTC
LAST UPDATED 2024-03-23 23:38:43 UTC
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