Indiana
Professional Licensing Agency
Bridget Ann Watts
Controlled Substance Registration - Dentist
License number
12011097B
Date granted
12/20/2007
Date expires
03/01/2010
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
Small Smiles of South Bend, LLC, 2332 Miracle Lane, Mishawaka IN 46545-3012
indianalicensing.org
ID 5112335
LAST UPDATED 2024-03-03 14:14:26 UTC
LAST UPDATED 2024-03-03 14:14:26 UTC
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