Indiana
Professional Licensing Agency
Dagmara Ventresca
Controlled Substance Registration - Dentist
License number
12012167B
Date granted
06/18/2014
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
3412 Klondike Road, West Lafayette IN 47906
indianalicensing.org
ID 27546135
LAST UPDATED 2024-03-03 06:37:28 UTC
LAST UPDATED 2024-03-03 06:37:28 UTC
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