Indiana
Professional Licensing Agency
Meredeth Su Gray
Controlled Substance Registration - Dentist
License number
12011460B
Date granted
06/04/2010
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1608 Lafayette Avenue, Terre Haute IN 47804
indianalicensing.org
ID 5125153
LAST UPDATED 2024-01-30 22:02:24 UTC
LAST UPDATED 2024-01-30 22:02:24 UTC
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