Indiana
Professional Licensing Agency
Dennis Waltke
Controlled Substance Registration - Dentist
License number
12007396B
Date granted
07/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
7373 EAST 21ST ST, INDIANAPOLIS IN 46219
indianalicensing.org
ID 5102093
LAST UPDATED 2024-03-19 02:14:05 UTC
LAST UPDATED 2024-03-19 02:14:05 UTC
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