Indiana
Professional Licensing Agency
John E. Trok
Controlled Substance Registration - Dentist
License number
12009929B
Date granted
12/26/1996
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1001 Chestnut Hills Parkway, Fort Wayne IN 46814-8933
indianalicensing.org
ID 5095098
LAST UPDATED 2024-04-08 14:24:14 UTC
LAST UPDATED 2024-04-08 14:24:14 UTC
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