Indiana
Professional Licensing Agency
Judith Corinne Burks
Controlled Substance Registration - Dentist
License number
12011166B
Date granted
10/14/2011
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
New Paris Family Dentistry, 67470 Fernbrook Road, New Paris IN 46553
indianalicensing.org
ID 5116096
LAST UPDATED 2024-03-31 10:30:23 UTC
LAST UPDATED 2024-03-31 10:30:23 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.