Indiana
Professional Licensing Agency
Luis Loretto Cuellar, III
Controlled Substance Registration - Dentist
License number
12010544C
Date granted
09/15/2005
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Southshore Family Dentistry, 1431 Woodland Ave., Michigan City IN 46360
indianalicensing.org
ID 5111842
LAST UPDATED 2024-04-21 08:04:05 UTC
LAST UPDATED 2024-04-21 08:04:05 UTC
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