Indiana
Professional Licensing Agency
Deidre Ann Guerrettaz
Controlled Substance Registration - Dentist
License number
12008749B
Date granted
03/02/1992
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1638 Christopher Lane, Speedway IN 46224
indianalicensing.org
ID 27546055
LAST UPDATED 2026-05-18 00:54:01 UTC
LAST UPDATED 2026-05-18 00:54:01 UTC
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