Indiana
Professional Licensing Agency
Brittney Kay Lieske
Controlled Substance Registration - Dentist
License number
12012026B
Date granted
12/16/2013
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Valparaiso Dental Professionals, 2001 Roosevelt Road, Valparaiso IN 46383
indianalicensing.org
ID 27546092
LAST UPDATED 2024-02-01 07:53:46 UTC
LAST UPDATED 2024-02-01 07:53:46 UTC
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