Indiana
Professional Licensing Agency
Caroline Derrow
Controlled Substance Registration - Dentist
License number
12010667B
Date granted
06/16/2006
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Auburn Pediatric Dentistry, 1005 Nicholas St., Auburn IN 46706
indianalicensing.org
ID 5081522
LAST UPDATED 2024-03-28 14:53:24 UTC
LAST UPDATED 2024-03-28 14:53:24 UTC
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