Indiana
Professional Licensing Agency
Derek O. Graber
Controlled Substance Registration - Dentist
License number
12011289B
Date granted
06/08/2009
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
901 South Main Street, Princeton IN 47670
indianalicensing.org
ID 5119310
LAST UPDATED 2024-02-02 14:45:32 UTC
LAST UPDATED 2024-02-02 14:45:32 UTC
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