Indiana
Professional Licensing Agency
Kelly Cathryn Terranova
Controlled Substance Registration - Dentist
License number
12011359B
Date granted
08/24/2009
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1290 East Ireland Road, South Bend IN 46614
indianalicensing.org
ID 5123174
LAST UPDATED 2024-01-12 17:05:23 UTC
LAST UPDATED 2024-01-12 17:05:23 UTC
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