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 2024-02-03 21:35:18 UTC
LAST UPDATED 2024-02-03 21:35:18 UTC
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