Indiana
Professional Licensing Agency
Daniel Mensah-Boateng
Controlled Substance Registration - Dentist
License number
12011454B
Date granted
06/10/2010
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Neighborhood Health Clinics, 1717 South Calhoun Street, Fort Wayne IN 46802
indianalicensing.org
ID 5094387
LAST UPDATED 2024-03-25 03:02:07 UTC
LAST UPDATED 2024-03-25 03:02:07 UTC
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