Indiana
Professional Licensing Agency
Daniel Chung
Controlled Substance Registration - Dentist
License number
12011089B
Date granted
11/10/2008
Date expires
03/01/2012
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
51584 State Route 933, South Bend IN 46637
indianalicensing.org
ID 5122787
LAST UPDATED 2024-04-13 13:48:34 UTC
LAST UPDATED 2024-04-13 13:48:34 UTC
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