Indiana
Professional Licensing Agency
Avis Lorraine Barker
Controlled Substance Registration - Dentist
License number
12011066B
Date granted
09/20/2007
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
32 Pearls Family Dentistry, Inc, 15045 State Road 23, Granger IN 46530
indianalicensing.org
ID 5112310
LAST UPDATED 2024-04-01 21:43:22 UTC
LAST UPDATED 2024-04-01 21:43:22 UTC
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