Indiana
Professional Licensing Agency
Katayoon Dorosti
Controlled Substance Registration - Dentist
License number
12011546B
Date granted
11/24/2010
Date expires
03/01/2012
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
614 Andrew Avenue, La Porte IN 46350
indianalicensing.org
ID 5107145
LAST UPDATED 2024-05-11 06:36:36 UTC
LAST UPDATED 2024-05-11 06:36:36 UTC
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