Indiana
Professional Licensing Agency
Laura L. Durell
Controlled Substance Registration - Dentist
License number
12009474B
Date granted
01/17/1996
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1301 AGAN DRIVE P O BOX 236, PLAINFIELD IN 46168
indianalicensing.org
ID 5118709
LAST UPDATED 2024-04-16 00:17:36 UTC
LAST UPDATED 2024-04-16 00:17:36 UTC
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