Indiana
Professional Licensing Agency
Martha S. Cassity
Controlled Substance Registration - Dentist
License number
12011002B
Date granted
07/23/2007
Date expires
03/01/2012
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
Periodontists of the Tri-State, PLLC, 410 West Street, Madison IN 47250
indianalicensing.org
ID 5109694
LAST UPDATED 2024-02-16 23:06:38 UTC
LAST UPDATED 2024-02-16 23:06:38 UTC
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