Indiana
Professional Licensing Agency
Marie Louise Holt
Controlled Substance Registration - Dentist
License number
12009021B
Date granted
08/03/1988
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
7862 E. 96th Street, Fishers IN 46037
indianalicensing.org
ID 5093535
LAST UPDATED 2024-03-31 04:56:49 UTC
LAST UPDATED 2024-03-31 04:56:49 UTC
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