Indiana
Professional Licensing Agency
Hossein Borzou Ouranos
Controlled Substance Registration - Dentist
License number
12012086B
Date granted
06/24/2014
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
CS Dental LLC, 630 Kimmel Road Suite C, Vincennes IN 47591
indianalicensing.org
ID 27546114
LAST UPDATED 2024-01-29 19:17:40 UTC
LAST UPDATED 2024-01-29 19:17:40 UTC
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