Indiana
Professional Licensing Agency
Kelly Sue Ulman
Controlled Substance Registration - Dentist
License number
12009984B
Date granted
08/29/1997
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Decatur Dental Services, 6496 North Piqua Road, Decatur IN 46733-9434
indianalicensing.org
ID 5089396
LAST UPDATED 2024-03-06 14:37:22 UTC
LAST UPDATED 2024-03-06 14:37:22 UTC
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