Indiana
Professional Licensing Agency
Desiree Sophia Dimond
Controlled Substance Registration - Dentist
License number
12009228B
Date granted
11/13/1990
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
3606 Olender Dr., Indianapolis IN 46221
indianalicensing.org
ID 5102100
LAST UPDATED 2024-01-29 16:53:35 UTC
LAST UPDATED 2024-01-29 16:53:35 UTC
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