Indiana
Professional Licensing Agency
Janet Linn Clark
Controlled Substance Registration - Dentist
License number
12008748B
Date granted
02/28/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
7830 Rockville Road, Indianapolis IN 46214
indianalicensing.org
ID 5102794
LAST UPDATED 2024-03-07 11:26:40 UTC
LAST UPDATED 2024-03-07 11:26:40 UTC
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