Indiana
Professional Licensing Agency
Frederick Russell Liewehr
Controlled Substance Registration - Dentist
License number
12010475B
Date granted
04/07/2003
Date expires
03/01/2004
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
Advanced EndoCare, 2000 E. 116th St., Ste. 104, Carmel IN 46032
indianalicensing.org
ID 5085453
LAST UPDATED 2024-04-27 07:45:21 UTC
LAST UPDATED 2024-04-27 07:45:21 UTC
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