Indiana
Professional Licensing Agency
Christalia Marie Bostos
Controlled Substance Registration - Dentist
License number
12011865B
Date granted
10/21/2013
Date expires
03/01/2014
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Kool Smiles, 1800 Fort Harrison Road, Terre Haute IN 47801
indianalicensing.org
ID 11644263
LAST UPDATED 2026-05-06 09:22:47 UTC
LAST UPDATED 2026-05-06 09:22:47 UTC
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