Indiana
Professional Licensing Agency
Jenny Tan Sy-Munoz
Controlled Substance Registration - Dentist
License number
12009151B
Date granted
07/10/1989
Date expires
03/01/1998
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
1121 WEST MICHIGAN STREET, INDIANAPOLIS IN 46202
indianalicensing.org
ID 5102853
LAST UPDATED 2024-05-04 06:40:47 UTC
LAST UPDATED 2024-05-04 06:40:47 UTC
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