Indiana
Professional Licensing Agency
Angela R. Bammann
Controlled Substance Registration - Dentist
License number
12008766B
Date granted
02/25/1986
Date expires
03/01/2004
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
16497 SHEFFIELD AVENUE, CEDAR LAKE IN 46303
indianalicensing.org
ID 5086088
LAST UPDATED 2024-03-18 00:51:55 UTC
LAST UPDATED 2024-03-18 00:51:55 UTC
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