Indiana
Professional Licensing Agency
Lydia Winters
Controlled Substance Registration - Dentist
License number
12011889B
Date granted
11/19/2012
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
2917 East 10th Street, Jeffersonville IN 47130
indianalicensing.org
ID 5105469
LAST UPDATED 2024-03-24 09:40:13 UTC
LAST UPDATED 2024-03-24 09:40:13 UTC
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