License holder summary

Lorraine J. Celis is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Lorraine J. Celis is Jefferson Dental Center, 2628 East Jefferson Boulevard, South Bend IN 46615-2724. This licensed professional license is current. The license was granted 01/28/1997 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Lorraine J. Celis
Controlled Substance Registration - Dentist
License number
12009908B
Date granted
01/28/1997
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Jefferson Dental Center, 2628 East Jefferson Boulevard, South Bend IN 46615-2724
indianalicensing.org
ID 5123216
LAST UPDATED 2024-03-06 16:20:48 UTC

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