Indiana
Professional Licensing Agency
Mary R. Welch Staadt
Controlled Substance Registration - Dentist
License number
12008740B
Date granted
07/19/1985
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
110 East York Street, Rockville IN 47872
indianalicensing.org
ID 5120471
LAST UPDATED 2024-04-17 18:11:22 UTC
LAST UPDATED 2024-04-17 18:11:22 UTC
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