Indiana
Professional Licensing Agency
Diane M. Buyer
Controlled Substance Registration - Dentist
License number
12008374B
Date granted
06/30/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1060 East 86th Street Suite 59, Indianapolis IN 46240-1868
indianalicensing.org
ID 5102103
LAST UPDATED 2024-05-04 10:20:06 UTC
LAST UPDATED 2024-05-04 10:20:06 UTC
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