Indiana
Professional Licensing Agency
Halina Bierciewska
Controlled Substance Registration - Dentist
License number
12010903B
Date granted
09/27/2006
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Aspen Dental, 2124 E. Boulevard St., Kokomo IN 46902
indianalicensing.org
ID 5106388
LAST UPDATED 2024-03-12 21:56:45 UTC
LAST UPDATED 2024-03-12 21:56:45 UTC
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