Indiana
Professional Licensing Agency
Gina Marie Dilger Dewald
Controlled Substance Registration - Dentist
License number
12009490B
Date granted
06/18/1992
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Dewald Northeast Dental Group, 405 Smith DRive, Auburn IN 46706-1806
indianalicensing.org
ID 5081632
LAST UPDATED 2024-03-02 14:19:50 UTC
LAST UPDATED 2024-03-02 14:19:50 UTC
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