Indiana
Professional Licensing Agency
Matthew Lawrence Rasche
Controlled Substance Registration - Dentist
License number
12011284C
Date granted
07/15/2011
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Rasche Pediatric Dentistry, LLC, 828 South Auto Mall Road, Bloomington IN 47401-5430
indianalicensing.org
ID 5083331
LAST UPDATED 2024-03-01 11:30:58 UTC
LAST UPDATED 2024-03-01 11:30:58 UTC
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