Indiana
Professional Licensing Agency
Ana Kristina David Kubek
Controlled Substance Registration - Dentist
License number
12011321B
Date granted
06/09/2009
Date expires
03/01/2014
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
Advanced Dental, 2955 Professional Lane, Terre Haute IN 47802
indianalicensing.org
ID 5124694
LAST UPDATED 2024-03-14 14:12:38 UTC
LAST UPDATED 2024-03-14 14:12:38 UTC
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