Indiana
Professional Licensing Agency
John Sikora
Controlled Substance Registration - Dentist
License number
12007517B
Date granted
08/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
6515 Central Avenue, Portage IN 46368
indianalicensing.org
ID 5119108
LAST UPDATED 2024-04-19 06:10:51 UTC
LAST UPDATED 2024-04-19 06:10:51 UTC
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