Indiana
Professional Licensing Agency
Bridget Lynn Merritt-Brooks
Controlled Substance Registration - Dentist
License number
12011081B
Date granted
10/31/2007
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Small Smiles of South Bend, LLC, 2332 Miracle Lane, Mishawaka IN 46545-3012
indianalicensing.org
ID 5112343
LAST UPDATED 2024-03-15 14:30:18 UTC
LAST UPDATED 2024-03-15 14:30:18 UTC
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