Indiana
Professional Licensing Agency
Karen A. Hrisomalos
Controlled Substance Registration - Dentist
License number
12008700B
Date granted
07/31/1985
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
312 South Swain Avenue, Bloomington IN 47401-3723
indianalicensing.org
ID 5083225
LAST UPDATED 2024-03-10 02:40:43 UTC
LAST UPDATED 2024-03-10 02:40:43 UTC
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