Indiana
Professional Licensing Agency
Manpreet Kaur Randhawa
Controlled Substance Registration - Dentist
License number
12011861B
Date granted
07/31/2012
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Small Smiles, 2332 Miracle Lane, Mishawaka IN 46545
indianalicensing.org
ID 5112571
LAST UPDATED 2024-03-20 17:51:56 UTC
LAST UPDATED 2024-03-20 17:51:56 UTC
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