Indiana
Professional Licensing Agency
Lisbeth Ann Randall
Controlled Substance Registration - Dentist
License number
12009343B
Date granted
10/07/1994
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
9931 Eller Road, Fishers IN 46038-2011
indianalicensing.org
ID 5093515
LAST UPDATED 2024-02-08 06:04:59 UTC
LAST UPDATED 2024-02-08 06:04:59 UTC
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