Indiana
Professional Licensing Agency
Gregory A. Ortman
Controlled Substance Registration - Dentist
License number
12008716B
Date granted
07/22/1985
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
2113 South Street, Lafayette IN 47904-2966
indianalicensing.org
ID 5107488
LAST UPDATED 2024-02-09 20:25:48 UTC
LAST UPDATED 2024-02-09 20:25:48 UTC
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