Indiana
Professional Licensing Agency
Carisse Marie-Hache Corns
Controlled Substance Registration - Dentist
License number
12011775B
Date granted
10/31/2012
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1111 Cumberland Crossing Dr, Valparaiso IN 46383
indianalicensing.org
ID 5089877
LAST UPDATED 2024-02-06 20:25:19 UTC
LAST UPDATED 2024-02-06 20:25:19 UTC
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