Indiana
Professional Licensing Agency
Lynn E. Gassoway
Controlled Substance Registration - Dentist
License number
12007149B
Date granted
03/11/1994
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
4405 Kingsdale Dr., Valparaiso IN 46383
indianalicensing.org
ID 5126164
LAST UPDATED 2025-01-07 04:01:48 UTC
LAST UPDATED 2025-01-07 04:01:48 UTC
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