Indiana
Professional Licensing Agency
Mary Ellen Anderson
Controlled Substance Registration - Dentist
License number
12009810B
Date granted
10/05/1995
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
11983 Hawthorn Ridge, Fishers IN 46037
indianalicensing.org
ID 5093531
LAST UPDATED 2024-03-17 09:54:47 UTC
LAST UPDATED 2024-03-17 09:54:47 UTC
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