Indiana
Professional Licensing Agency
Matthew Jameson Backs
Controlled Substance Registration - Dentist
License number
12012012B
Date granted
06/25/2013
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Afdent, 605 West Douglas Road, Mishawaka IN 46545
indianalicensing.org
ID 5112579
LAST UPDATED 2024-03-18 01:00:56 UTC
LAST UPDATED 2024-03-18 01:00:56 UTC
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