Indiana
Professional Licensing Agency
Jennifer Reis Kugar
Controlled Substance Registration - Dentist
License number
12009029B
Date granted
07/22/1988
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
11501 Cumberland Road, Suite 600, Fishers IN 46038
indianalicensing.org
ID 5093404
LAST UPDATED 2024-04-03 00:35:47 UTC
LAST UPDATED 2024-04-03 00:35:47 UTC
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