Indiana
Professional Licensing Agency
Heather A. Maupin
Controlled Substance Registration - Dentist
License number
12010749B
Date granted
08/03/2005
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Saratoga Family Dental, 1070 West Main Street Suite 151, Plainfield IN 46168
indianalicensing.org
ID 5118620
LAST UPDATED 2024-02-17 17:04:44 UTC
LAST UPDATED 2024-02-17 17:04:44 UTC
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