Indiana
Professional Licensing Agency
Justin Harold Sorenson
Controlled Substance Registration - Dentist
License number
12011688B
Date granted
06/24/2011
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
529 East Lewis and Clark Parkway, Clarksville IN 47129
indianalicensing.org
ID 5087010
LAST UPDATED 2024-04-29 14:14:38 UTC
LAST UPDATED 2024-04-29 14:14:38 UTC
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