Indiana
Professional Licensing Agency
Lisa Ann Conard
Controlled Substance Registration - Dentist
License number
12009185B
Date granted
11/17/1989
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1705 INDIANAPOLIS AVENUE, LEBANON IN 46052
indianalicensing.org
ID 5108636
LAST UPDATED 2024-02-04 09:49:56 UTC
LAST UPDATED 2024-02-04 09:49:56 UTC
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