Indiana
Professional Licensing Agency
Jessica Mehta
Controlled Substance Registration - Dentist
License number
12011755B
Date granted
12/27/2011
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Dyer Family Dentistry, 890 Richard Road, Dyer IN 46311
indianalicensing.org
ID 5090099
LAST UPDATED 2024-04-20 07:28:17 UTC
LAST UPDATED 2024-04-20 07:28:17 UTC
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