Indiana
Professional Licensing Agency
Lisa Marie Leniski
Controlled Substance Registration - Dentist
License number
12010935B
Date granted
03/14/2007
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Community Dental Clinic, 7750 W 200 South, Topeka IN 46571
indianalicensing.org
ID 5125541
LAST UPDATED 2024-02-22 06:32:45 UTC
LAST UPDATED 2024-02-22 06:32:45 UTC
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