Indiana
Professional Licensing Agency
Joseph H. Antonini
Controlled Substance Registration - Dentist
License number
12006471B
Date granted
11/30/1985
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
P.O. Box 276, Highway 68 West, Dale IN 47523
indianalicensing.org
ID 5089168
LAST UPDATED 2024-03-05 11:38:48 UTC
LAST UPDATED 2024-03-05 11:38:48 UTC
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