Indiana
Professional Licensing Agency
Christina Rudman
Controlled Substance Registration - Dentist
License number
12009039B
Date granted
07/15/1988
Date expires
03/01/1992
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
300 MEDICAL ARTS BLDG C/O LORD, 2500 FERRY STREET, LAFAYETTE IN 47904
indianalicensing.org
ID 5107341
LAST UPDATED 2024-02-12 09:43:03 UTC
LAST UPDATED 2024-02-12 09:43:03 UTC
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