Indiana
Professional Licensing Agency
Betsy Jane Crandall
Controlled Substance Registration - Dentist
License number
12011024B
Date granted
08/15/2007
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Blue River Dental Care, 1600 East State Road 44, Suite 2, Shelbyville IN 46176
indianalicensing.org
ID 5122090
LAST UPDATED 2024-03-23 13:52:25 UTC
LAST UPDATED 2024-03-23 13:52:25 UTC
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