Indiana
Professional Licensing Agency
Elizabeth Ann Kirsch
Controlled Substance Registration - Dentist
License number
12011627B
Date granted
06/03/2011
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
DeWald Northeast Dental Group, 405 Smith Drive, Auburn IN 46706
indianalicensing.org
ID 5081641
LAST UPDATED 2024-04-23 05:11:23 UTC
LAST UPDATED 2024-04-23 05:11:23 UTC
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