Indiana
Professional Licensing Agency
Beth Alison Bachman
Controlled Substance Registration - Dentist
License number
12011308B
Date granted
06/02/2009
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Afdent, 605 West Douglas Road, Mishawaka IN 46545
indianalicensing.org
ID 5112329
LAST UPDATED 2024-01-22 19:36:34 UTC
LAST UPDATED 2024-01-22 19:36:34 UTC
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