Indiana
Professional Licensing Agency
Grant Patrick Cleveland
Controlled Substance Registration - Dentist
License number
12010983B
Date granted
06/08/2007
Date expires
03/01/2014
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Afdent Family Dental Center, 605 W. Douglas Road, Mishawaka IN 46545
indianalicensing.org
ID 5112462
LAST UPDATED 2024-02-05 19:02:28 UTC
LAST UPDATED 2024-02-05 19:02:28 UTC
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