Indiana
Professional Licensing Agency
Jeannne Antoinette Degrazia
Controlled Substance Registration - Dentist
License number
12009463B
Date granted
07/01/1992
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
250 South Washington Street, Hobart IN 46342-4151
indianalicensing.org
ID 5101067
LAST UPDATED 2024-03-27 18:21:52 UTC
LAST UPDATED 2024-03-27 18:21:52 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.