Indiana
Professional Licensing Agency
Angelina J. Blass
Controlled Substance Registration - Dentist
License number
12010948B
Date granted
03/16/2007
Date expires
03/01/2010
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
3363 South U.S. Hwy 41, Terre Haute IN 47802
indianalicensing.org
ID 5124723
LAST UPDATED 2024-01-30 04:41:55 UTC
LAST UPDATED 2024-01-30 04:41:55 UTC
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