Indiana
Professional Licensing Agency
Bolanle M. Balogun
Controlled Substance Registration - Dentist
License number
12012131B
Date granted
08/15/2014
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Aspen Dental, 2505 LaPorte Avenue, Valparaiso IN 46383
indianalicensing.org
ID 27546093
LAST UPDATED 2024-04-02 16:51:03 UTC
LAST UPDATED 2024-04-02 16:51:03 UTC
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