Indiana
Professional Licensing Agency
Ann-Margaret Luckett
Controlled Substance Registration - Dentist
License number
12011587B
Date granted
03/28/2011
Date expires
03/01/2012
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
ImmediaDent, 1160 East Lewis & Clark Parkway, Clarksville IN 47129-7735
indianalicensing.org
ID 5086838
LAST UPDATED 2024-03-29 12:27:00 UTC
LAST UPDATED 2024-03-29 12:27:00 UTC
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