Indiana
Professional Licensing Agency
Leif F. Engles
Controlled Substance Registration - Dentist
License number
12011093B
Date granted
12/18/2007
Date expires
03/01/2012
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
720 East Colliseum Blvd., Fort Wayne IN 46805
indianalicensing.org
ID 5095250
LAST UPDATED 2024-02-17 17:57:12 UTC
LAST UPDATED 2024-02-17 17:57:12 UTC
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