Indiana
Professional Licensing Agency
Llyndall Rhett Fagg
Controlled Substance Registration - Dentist
License number
12007148B
Date granted
08/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
211 MEDICAL PLAZA, MICHIGAN CITY IN 46360
indianalicensing.org
ID 5111868
LAST UPDATED 2024-03-29 10:53:52 UTC
LAST UPDATED 2024-03-29 10:53:52 UTC
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