Indiana
Professional Licensing Agency
Kostyantyn Baydyuk
Controlled Substance Registration - Dentist
License number
12010696B
Date granted
05/10/2005
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
3049 North High School Road, Speedway IN 46224-2001
indianalicensing.org
ID 5123884
LAST UPDATED 2024-03-10 03:33:08 UTC
LAST UPDATED 2024-03-10 03:33:08 UTC
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