Indiana
Professional Licensing Agency
Amanda K. Braun
Controlled Substance Registration - Dentist
License number
12011427B
Date granted
05/19/2010
Date expires
03/01/2014
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
3430 West State Road 66, Rockport IN 47635
indianalicensing.org
ID 5120365
LAST UPDATED 2024-02-23 06:25:41 UTC
LAST UPDATED 2024-02-23 06:25:41 UTC
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