Indiana
Professional Licensing Agency
Angela Sue King
Controlled Substance Registration - Dentist
License number
12009729B
Date granted
11/16/1994
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
9019 Lima Road, Fort Wayne IN 46818
indianalicensing.org
ID 5094128
LAST UPDATED 2026-04-27 17:25:15 UTC
LAST UPDATED 2026-04-27 17:25:15 UTC
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