Indiana
Professional Licensing Agency
Gwendolyn Ann Edmondson
Controlled Substance Registration - Dentist
License number
12008899B
Date granted
09/18/1987
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Midtown Dental PC, 2703 Broadway, Fort Wayne IN 46807
indianalicensing.org
ID 5094811
LAST UPDATED 2024-02-22 15:13:48 UTC
LAST UPDATED 2024-02-22 15:13:48 UTC
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