Indiana
Professional Licensing Agency
Brittany Anne Lane
Controlled Substance Registration - Dentist
License number
12011693C
Date granted
10/08/2014
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
8489 Fishers Centre Dr., Fishers IN 46038
indianalicensing.org
ID 27545555
LAST UPDATED 2024-02-28 16:26:29 UTC
LAST UPDATED 2024-02-28 16:26:29 UTC
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