Indiana
Professional Licensing Agency
Karen Rae Panietz
Controlled Substance Registration - Dentist
License number
12008720B
Date granted
08/06/1985
Date expires
03/01/1992
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
221 SOUTH 19TH STREET, TERRE HAUTE IN 47807
indianalicensing.org
ID 5125026
LAST UPDATED 2024-01-21 19:22:34 UTC
LAST UPDATED 2024-01-21 19:22:34 UTC
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