Indiana
Professional Licensing Agency
Lori F. Risser
Controlled Substance Registration - Dentist
License number
12010048B
Date granted
08/11/1998
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
734 EAST IRELAND ROAD, South Bend IN 46614
indianalicensing.org
ID 5123205
LAST UPDATED 2024-02-20 13:25:14 UTC
LAST UPDATED 2024-02-20 13:25:14 UTC
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