Indiana
Professional Licensing Agency
Amy Marie Gerardot
Controlled Substance Registration - Dentist
License number
12010345B
Date granted
09/13/2001
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
3909 N. Wheeling Ave, Muncie IN 47304
indianalicensing.org
ID 5113714
LAST UPDATED 2024-04-02 02:27:41 UTC
LAST UPDATED 2024-04-02 02:27:41 UTC
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