License holder summary

Diane Carandang Liberty is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Diane Carandang Liberty is South Street Family Dentistry, 103 N. Farabee Dr. Suite C, Lafayette IN 47905. This licensed professional license is not current. The license was granted 03/16/2000 and expired on 03/01/2006.

Indiana

Professional Licensing Agency

Diane Carandang Liberty
Controlled Substance Registration - Dentist
License number
12010169B
Date granted
03/16/2000
Date expires
03/01/2006
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
South Street Family Dentistry, 103 N. Farabee Dr. Suite C, Lafayette IN 47905
indianalicensing.org
ID 5107411
LAST UPDATED 2024-02-27 08:36:24 UTC

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