Indiana
Professional Licensing Agency
HERBERT O TIETZER JR
Controlled Substance Registration - Dentist
License number
12005510B
Date granted
07/31/1985
Date expires
03/01/1996
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
1107 ROESKE TRAIL, MICHIGAN CITY IN 46360
indianalicensing.org
ID 5111751
LAST UPDATED 2026-04-14 10:20:45 UTC
LAST UPDATED 2026-04-14 10:20:45 UTC
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