Indiana
Professional Licensing Agency
Kristen Bonnell Pate
Controlled Substance Registration - Dentist
License number
12009695B
Date granted
07/20/1994
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
860 E. 86th Street , Suite 1, Indianapolis IN 46240
indianalicensing.org
ID 5103273
LAST UPDATED 2024-04-14 16:57:12 UTC
LAST UPDATED 2024-04-14 16:57:12 UTC
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