Indiana
Professional Licensing Agency
Brian C. Modrowski
Controlled Substance Registration - Dentist
License number
12010173B
Date granted
08/17/1999
Date expires
03/01/2002
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
11711 N PENNSYLVANIA ST #114, CARMEL IN 46032
indianalicensing.org
ID 5085310
LAST UPDATED 2024-04-28 08:06:50 UTC
LAST UPDATED 2024-04-28 08:06:50 UTC
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