Indiana
Professional Licensing Agency
Heidi Jo Krider
Controlled Substance Registration - Dentist
License number
12010262B
Date granted
10/05/2000
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1001 Chestnut Hills Parkway, Suite #5, Fort Wayne IN 46814-8933
indianalicensing.org
ID 5094852
LAST UPDATED 2024-03-23 23:43:03 UTC
LAST UPDATED 2024-03-23 23:43:03 UTC
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