Indiana
Professional Licensing Agency
Dianne C. Weidner
Controlled Substance Registration - Dentist
License number
12007397B
Date granted
01/17/2012
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
314 North Kingston Road, Plymouth IN 46563
indianalicensing.org
ID 5118869
LAST UPDATED 2026-04-08 23:06:55 UTC
LAST UPDATED 2026-04-08 23:06:55 UTC
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