Indiana
Professional Licensing Agency
Lisa R. Dekker-Reed
Controlled Substance Registration - Dentist
License number
12011340B
Date granted
07/01/2009
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Aspen Dental, 2909 County Home Road, Goshen IN 46526
indianalicensing.org
ID 5090842
LAST UPDATED 2024-03-07 11:52:20 UTC
LAST UPDATED 2024-03-07 11:52:20 UTC
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