Indiana
Professional Licensing Agency
Kavita Nana
Controlled Substance Registration - Dentist
License number
12011995B
Date granted
06/14/2013
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Parkside Dental Care, 1515 West 45th Street, Griffith IN 46319
indianalicensing.org
ID 5099741
LAST UPDATED 2024-04-11 14:03:43 UTC
LAST UPDATED 2024-04-11 14:03:43 UTC
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