Indiana
Professional Licensing Agency
Amy L. Evans
Controlled Substance Registration - Dentist
License number
12010149B
Date granted
11/15/1999
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Image Dental, 11711 N Pennsylvania Street Suite 114, Carmel IN 46032
indianalicensing.org
ID 5085230
LAST UPDATED 2024-02-21 13:01:26 UTC
LAST UPDATED 2024-02-21 13:01:26 UTC
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