Indiana
Professional Licensing Agency
Bradley Paul Laconi
Controlled Substance Registration - Dentist
License number
12008802C
Date granted
11/12/2008
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
14 South Main Street, Fortville IN 46040
indianalicensing.org
ID 5096534
LAST UPDATED 2024-04-06 21:43:46 UTC
LAST UPDATED 2024-04-06 21:43:46 UTC
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