Indiana
Professional Licensing Agency
Ann Marie Farrer
Controlled Substance Registration - Dentist
License number
12009231B
Date granted
06/27/1990
Date expires
03/01/1996
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
104 EAST 19TH STREET, BLOOMINGTON IN 47408
indianalicensing.org
ID 5082831
LAST UPDATED 2024-03-13 14:10:30 UTC
LAST UPDATED 2024-03-13 14:10:30 UTC
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