Indiana
Professional Licensing Agency
Delores M. O'Daniel
Controlled Substance Registration - Dentist
License number
12010483B
Date granted
08/20/2003
Date expires
03/01/2014
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
c/o Dr. Cotton, 409 West Sixth Street, Jeffersonville IN 47130-3507
indianalicensing.org
ID 5105338
LAST UPDATED 2024-04-14 21:22:30 UTC
LAST UPDATED 2024-04-14 21:22:30 UTC
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