Indiana
Professional Licensing Agency
Carl Richard Altenhof
Controlled Substance Registration - Dentist
License number
12006679B
Date granted
11/30/1984
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
3465 Airport Rd., Portage IN 46368
indianalicensing.org
ID 5119068
LAST UPDATED 2024-04-23 17:40:12 UTC
LAST UPDATED 2024-04-23 17:40:12 UTC
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