Indiana
Professional Licensing Agency
Anthony Amodio Brucci
Controlled Substance Registration - Dentist
License number
12010244B
Date granted
10/25/2000
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Premier Dental, 7891 Broadway Chapel Center Suite C, Merrillville IN 46410-5556
indianalicensing.org
ID 5110741
LAST UPDATED 2024-03-18 09:32:51 UTC
LAST UPDATED 2024-03-18 09:32:51 UTC
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