Indiana
Professional Licensing Agency
Michele T. LePage
Controlled Substance Registration - Dentist
License number
12010618B
Date granted
09/13/2004
Date expires
03/01/2006
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
ABG Dental of Elkhart, 319 D W. Lusher, Elkhart IN 46524
indianalicensing.org
ID 5090874
LAST UPDATED 2024-02-03 14:16:36 UTC
LAST UPDATED 2024-02-03 14:16:36 UTC
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