Indiana
Professional Licensing Agency
Deanna Lynn O'Neil
Controlled Substance Registration - Dentist
License number
12011222B
Date granted
09/08/2008
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
103 South Eddy Street, South Bend IN 46617
indianalicensing.org
ID 5122838
LAST UPDATED 2024-02-01 01:39:01 UTC
LAST UPDATED 2024-02-01 01:39:01 UTC
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