Indiana
Professional Licensing Agency
Courtney Jill Miskuf
Controlled Substance Registration - Dentist
License number
12010140B
Date granted
08/09/1999
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
2906 Evergreen Drive, Bedford IN 47421-5288
indianalicensing.org
ID 5082319
LAST UPDATED 2024-02-23 20:38:39 UTC
LAST UPDATED 2024-02-23 20:38:39 UTC
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