Indiana
Professional Licensing Agency
Brooke Nicole Adams
Controlled Substance Registration - Dentist
License number
12011104B
Date granted
04/01/2008
Date expires
03/01/2014
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
Stacy D Johnson, DDS PC, 3056 West Stones Crossing Road, Greenwood IN 46143-6484
indianalicensing.org
ID 5099041
LAST UPDATED 2024-04-25 20:30:49 UTC
LAST UPDATED 2024-04-25 20:30:49 UTC
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