Indiana
Professional Licensing Agency
Michael Edward Bajza
Controlled Substance Registration - Dentist
License number
12009652B
Date granted
07/08/1994
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
631 Forrest Avenue, Griffith IN 46319
indianalicensing.org
ID 5099736
LAST UPDATED 2024-03-09 22:55:15 UTC
LAST UPDATED 2024-03-09 22:55:15 UTC
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