Indiana
Professional Licensing Agency
Donna Rush
Controlled Substance Registration - Dentist
License number
12010529B
Date granted
06/16/2003
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Clifty Family Dental, 1105 Clifty Dr., Madison IN 47250
indianalicensing.org
ID 5105294
LAST UPDATED 2024-04-13 07:12:54 UTC
LAST UPDATED 2024-04-13 07:12:54 UTC
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