Indiana
Professional Licensing Agency
Megan Jo Friesen
Controlled Substance Registration - Dentist
License number
12011472B
Date granted
05/26/2011
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Afdent, 4041 Parnell Avenue, Fort Wayne IN 46805
indianalicensing.org
ID 5095427
LAST UPDATED 2024-04-19 11:54:05 UTC
LAST UPDATED 2024-04-19 11:54:05 UTC
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