Indiana
Professional Licensing Agency
Mary S. Parker
Controlled Substance Registration - Dentist
License number
12010788B
Date granted
10/24/2005
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
4001 Stonegate Ct., Bloomington IN 47401
indianalicensing.org
ID 5083307
LAST UPDATED 2024-03-30 03:31:29 UTC
LAST UPDATED 2024-03-30 03:31:29 UTC
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