Indiana
Professional Licensing Agency
Lisa Yvette Pina-Awosika
Controlled Substance Registration - Dentist
License number
12011574B
Date granted
01/26/2011
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Portage Dental Rehab, 6044 Lute Road, Portage IN 46368
indianalicensing.org
ID 5119142
LAST UPDATED 2024-04-25 23:43:12 UTC
LAST UPDATED 2024-04-25 23:43:12 UTC
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