Indiana
Professional Licensing Agency
Indrani Manne
Controlled Substance Registration - Dentist
License number
12011860B
Date granted
02/19/2013
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Aspen Dental, 3363 South US Highway 41, Terre Haute IN 47802
indianalicensing.org
ID 5124877
LAST UPDATED 2024-04-10 05:10:49 UTC
LAST UPDATED 2024-04-10 05:10:49 UTC
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