Indiana
Professional Licensing Agency
Elizabeth Wallin Pawlak
Controlled Substance Registration - Dentist
License number
12009881B
Date granted
01/08/2010
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Elizabeth Wallin Pawlak, 160 Demaree Drive, Madison IN 47250-4622
indianalicensing.org
ID 5109622
LAST UPDATED 2024-04-07 19:28:18 UTC
LAST UPDATED 2024-04-07 19:28:18 UTC
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