Indiana
Professional Licensing Agency
Brenda Jane Pruitt
Controlled Substance Registration - Dentist
License number
12007709B
Date granted
10/31/1984
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
214 South Main Street, Topeka IN 46571
indianalicensing.org
ID 5125535
LAST UPDATED 2024-04-20 21:24:41 UTC
LAST UPDATED 2024-04-20 21:24:41 UTC
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