Indiana
Professional Licensing Agency
Catherine Kroczek
Controlled Substance Registration - Dentist
License number
12010785B
Date granted
02/18/2009
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
7863 Broadway, Ste #107, Merrillville IN 46410
indianalicensing.org
ID 5110761
LAST UPDATED 2024-03-03 15:18:09 UTC
LAST UPDATED 2024-03-03 15:18:09 UTC
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