Indiana
Professional Licensing Agency
Clarence A. Dean
Controlled Substance Registration - Dentist
License number
12007193B
Date granted
02/06/1992
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
222 Innisbrooke Avenue, Greenwood IN 46142
indianalicensing.org
ID 5099076
LAST UPDATED 2024-04-11 10:55:28 UTC
LAST UPDATED 2024-04-11 10:55:28 UTC
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