Indiana
Professional Licensing Agency
Amy Ahrendts Montefalco
Controlled Substance Registration - Dentist
License number
12009595B
Date granted
04/08/1994
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
3606 Olender Drive, Indianapolis IN 46221
indianalicensing.org
ID 5101510
LAST UPDATED 2024-01-30 18:34:53 UTC
LAST UPDATED 2024-01-30 18:34:53 UTC
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