Indiana
Professional Licensing Agency
Amy Lorraine Becker
Controlled Substance Registration - Dentist
License number
12009747B
Date granted
09/15/2005
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Green Street Dental Care, 1551 North Green Street., Brownsburg IN 46112
indianalicensing.org
ID 5084355
LAST UPDATED 2024-04-03 04:31:24 UTC
LAST UPDATED 2024-04-03 04:31:24 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.