Indiana
Professional Licensing Agency
Michelle Tissot - Ebeyer
Controlled Substance Registration - Dentist
License number
12010147B
Date granted
08/27/1999
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
973 Emerson Parkway, Suite A, Greenwood IN 46143-6907
indianalicensing.org
ID 5099342
LAST UPDATED 2024-03-05 16:03:34 UTC
LAST UPDATED 2024-03-05 16:03:34 UTC
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