Indiana
Professional Licensing Agency
Bret Anthony Bologna
Controlled Substance Registration - Dentist
License number
12009795B
Date granted
07/28/1995
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
11039 Broadway, #A, Crown Point IN 46307
indianalicensing.org
ID 5088844
LAST UPDATED 2024-04-14 06:52:53 UTC
LAST UPDATED 2024-04-14 06:52:53 UTC
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