Indiana
Professional Licensing Agency
Brandon Kenneth Tiek
Controlled Substance Registration - Dentist
License number
12010566B
Date granted
06/20/2003
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Tiek Dental Studio, 14390 Clay Terrace Blvd., Carmel IN 46032
indianalicensing.org
ID 5085258
LAST UPDATED 2024-03-08 02:40:39 UTC
LAST UPDATED 2024-03-08 02:40:39 UTC
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