Indiana
Professional Licensing Agency
Christine Marie Root
Controlled Substance Registration - Dentist
License number
12008820B
Date granted
06/28/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
807 Gardner Drive, Marion IN 46952
indianalicensing.org
ID 5110022
LAST UPDATED 2024-02-11 20:03:28 UTC
LAST UPDATED 2024-02-11 20:03:28 UTC
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