Indiana
Professional Licensing Agency
Elise Bolski
Controlled Substance Registration - Dentist
License number
12009613B
Date granted
09/22/1993
Date expires
03/01/1998
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
4010 WEST 86TH ST SUITE P, INDIANAPOLIS IN 46268
indianalicensing.org
ID 5102274
LAST UPDATED 2024-04-14 14:04:10 UTC
LAST UPDATED 2024-04-14 14:04:10 UTC
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