Indiana
Professional Licensing Agency
Elaine H. Coghlan
Controlled Substance Registration - Dentist
License number
12008909B
Date granted
05/16/1988
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
312 South Swain Avenue, Bloomington IN 47401-3723
indianalicensing.org
ID 5082966
LAST UPDATED 2024-04-12 09:27:00 UTC
LAST UPDATED 2024-04-12 09:27:00 UTC
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