Indiana
Professional Licensing Agency
Jessica E. Bolander
Controlled Substance Registration - Dentist
License number
12010728B
Date granted
07/22/2005
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Rockville Dental Clinic, 825 West Ohio Street P.O. Box 358, Rockville IN 47872
indianalicensing.org
ID 5120454
LAST UPDATED 2024-03-13 03:58:14 UTC
LAST UPDATED 2024-03-13 03:58:14 UTC
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