Indiana
Professional Licensing Agency
Edmund Leo Rapp
Controlled Substance Registration - Dentist
License number
12008930B
Date granted
11/18/1987
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1350 EAST COUNTY LINE ROAD # G, INDIANAPOLIS IN 46227
indianalicensing.org
ID 5102200
LAST UPDATED 2024-02-15 14:28:03 UTC
LAST UPDATED 2024-02-15 14:28:03 UTC
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