Indiana
Professional Licensing Agency
Marsha K. Woodruff
Controlled Substance Registration - Dentist
License number
12008746B
Date granted
09/25/1985
Date expires
03/01/1992
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
1619 E WAYNE, SOUTH BEND IN 46615
indianalicensing.org
ID 5123254
LAST UPDATED 2024-03-17 04:53:17 UTC
LAST UPDATED 2024-03-17 04:53:17 UTC
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