Indiana
Professional Licensing Agency
Gabriel David Hostalet
Controlled Substance Registration - Dentist
License number
12010448B
Date granted
04/04/2005
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Avon Oral & Maxillofacial Surgery, 6695 East US Hwy 36, Avon IN 46123
indianalicensing.org
ID 5081891
LAST UPDATED 2024-02-20 05:48:37 UTC
LAST UPDATED 2024-02-20 05:48:37 UTC
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