Indiana
Professional Licensing Agency
Danielle Marie Lies Stutsman
Controlled Substance Registration - Dentist
License number
12010362B
Date granted
07/03/2001
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1801 Charlton Court, Goshen IN 46526-6464
indianalicensing.org
ID 5097923
LAST UPDATED 2024-02-23 11:35:43 UTC
LAST UPDATED 2024-02-23 11:35:43 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.