Indiana
Professional Licensing Agency
Julie Gaydos Plagens
Controlled Substance Registration - Dentist
License number
12009563B
Date granted
07/14/1993
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
604 SOUTH EDDY STREET, SOUTH BEND IN 46615
indianalicensing.org
ID 5123155
LAST UPDATED 2024-01-08 19:14:56 UTC
LAST UPDATED 2024-01-08 19:14:56 UTC
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