Indiana
Professional Licensing Agency
Carla K Brink
Controlled Substance Registration - Dentist
License number
12009700B
Date granted
02/07/1995
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
56 Nichols Street, Hebron IN 46341
indianalicensing.org
ID 5100407
LAST UPDATED 2024-03-23 19:27:30 UTC
LAST UPDATED 2024-03-23 19:27:30 UTC
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