Indiana
Professional Licensing Agency
Mary Elizabeth Brandt
Controlled Substance Registration - Dentist
License number
12009456B
Date granted
06/23/1992
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
370 Medical Drive, Suite C, Carmel IN 46032-2971
indianalicensing.org
ID 5085722
LAST UPDATED 2024-04-26 04:22:32 UTC
LAST UPDATED 2024-04-26 04:22:32 UTC
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