Indiana
Professional Licensing Agency
Brett Michael DiSalle
Controlled Substance Registration - Dentist
License number
12009812D
Date granted
01/30/2007
Date expires
03/01/2010
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
Angola Dental Center, 205 East Harcourt Road, Angola IN 46703-7131
indianalicensing.org
ID 5081133
LAST UPDATED 2024-03-29 00:22:19 UTC
LAST UPDATED 2024-03-29 00:22:19 UTC
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