License holder summary

Brittany Carol Eirwin-Maqueda is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Brittany Carol Eirwin-Maqueda is Braun Dental Associates, 3430 Werst State Road 66, Ste A, Rockport IN 47635. This licensed professional license is current. The license was granted 08/17/2012 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Brittany Carol Eirwin-Maqueda
Controlled Substance Registration - Dentist
License number
12011855B
Date granted
08/17/2012
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Braun Dental Associates, 3430 Werst State Road 66, Ste A, Rockport IN 47635
indianalicensing.org
ID 5120443
LAST UPDATED 2024-03-26 16:49:03 UTC

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