Indiana
Professional Licensing Agency
Gina Norman-Boatright
Controlled Substance Registration - Dentist
License number
12010755B
Date granted
06/29/2005
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
125 E. Washington St., P.O. Box 94, Greencastle IN 46135-0094
indianalicensing.org
ID 5098551
LAST UPDATED 2024-03-14 00:23:22 UTC
LAST UPDATED 2024-03-14 00:23:22 UTC
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