Indiana
Professional Licensing Agency
Annette Jean Williamson
Controlled Substance Registration - Dentist
License number
12008946B
Date granted
07/21/1987
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
11043 Broadway, Ste #A, Crown Point IN 46307
indianalicensing.org
ID 5088812
LAST UPDATED 2024-01-28 03:57:47 UTC
LAST UPDATED 2024-01-28 03:57:47 UTC
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