Indiana
Professional Licensing Agency
Lori Baucom Fitzgerald
Controlled Substance Registration - Dentist
License number
12009946B
Date granted
01/27/1998
Date expires
03/01/2000
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
1109 E SPRING STREET, NEW ALBANY IN 47150
indianalicensing.org
ID 5115420
LAST UPDATED 2024-02-01 21:34:32 UTC
LAST UPDATED 2024-02-01 21:34:32 UTC
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