Indiana
Professional Licensing Agency
Julie Allyson Gideon
Controlled Substance Registration - Dentist
License number
12010152B
Date granted
11/17/1999
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
829 Main Street, Schererville IN 46375
indianalicensing.org
ID 5121485
LAST UPDATED 2024-04-17 20:15:44 UTC
LAST UPDATED 2024-04-17 20:15:44 UTC
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