Indiana
Professional Licensing Agency
Bogun Lee
Controlled Substance Registration - Dentist
License number
12011478B
Date granted
06/17/2010
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Merrillville Family Dental, 8079 Madison Street, Merrillville IN 46410
indianalicensing.org
ID 5110746
LAST UPDATED 2024-03-14 03:22:38 UTC
LAST UPDATED 2024-03-14 03:22:38 UTC
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