Indiana
Professional Licensing Agency
Craig M. Bolinger
Controlled Substance Registration - Dentist
License number
12010634B
Date granted
03/23/2005
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
5800 Fairfield Avenue, Suite 220, Fort Wayne IN 46807
indianalicensing.org
ID 5094359
LAST UPDATED 2024-04-02 14:23:33 UTC
LAST UPDATED 2024-04-02 14:23:33 UTC
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