Indiana
Professional Licensing Agency
Ana H. Vazquez
Controlled Substance Registration - Dentist
License number
12009305B
Date granted
12/07/1990
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Fishers Pediatric Dentistry, 9126 Technology Lane, Suite 100, Fishers IN 46038-3094
indianalicensing.org
ID 5093201
LAST UPDATED 2024-03-17 20:16:27 UTC
LAST UPDATED 2024-03-17 20:16:27 UTC
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