Indiana
Professional Licensing Agency
Andrea Lynn Ball
Controlled Substance Registration - Dentist
License number
12011857B
Date granted
07/17/2012
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
9595 Whitley Drive Suite# 100
indianalicensing.org
ID 5093185
LAST UPDATED 2024-02-18 14:36:52 UTC
LAST UPDATED 2024-02-18 14:36:52 UTC
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