Indiana
Professional Licensing Agency
Andrea Sue Conrad
Controlled Substance Registration - Dentist
License number
12011098B
Date granted
02/22/2008
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
TriState Family Dental Centers, 800 1st Avenue, Evansville IN 47710-1938
indianalicensing.org
ID 5091394
LAST UPDATED 2024-03-06 07:27:56 UTC
LAST UPDATED 2024-03-06 07:27:56 UTC
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