Indiana
Professional Licensing Agency
Laura Ann Bracken
Controlled Substance Registration - Dentist
License number
12010438B
Date granted
07/29/2002
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Columbus Family Dental Center, 901 Third Street, Columbus IN 47201
indianalicensing.org
ID 5087915
LAST UPDATED 2024-05-10 03:58:57 UTC
LAST UPDATED 2024-05-10 03:58:57 UTC
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