Indiana
Professional Licensing Agency
Kristin Joan Collard
Controlled Substance Registration - Dentist
License number
12011034B
Date granted
07/13/2007
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
One Professional Center, 2100 North Main Street, Crown Point IN 46307
indianalicensing.org
ID 5088980
LAST UPDATED 2024-04-18 00:58:54 UTC
LAST UPDATED 2024-04-18 00:58:54 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.