Indiana
Professional Licensing Agency
Lara Phillippi
Controlled Substance Registration - Dentist
License number
12010011B
Date granted
02/09/1998
Date expires
03/01/2000
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
1009 SOUTH JACKSON STREET, FRANKFORT IN 46041
indianalicensing.org
ID 5096801
LAST UPDATED 2024-02-13 08:59:22 UTC
LAST UPDATED 2024-02-13 08:59:22 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.