Indiana
Professional Licensing Agency
Michelle W. Moenning
Controlled Substance Registration - Dentist
License number
12010010B
Date granted
11/10/1997
Date expires
03/01/2002
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
933 EAST HANNA AVENUE STE 3, INDIANAPOLIS IN 46227
indianalicensing.org
ID 5103674
LAST UPDATED 2024-04-11 23:58:29 UTC
LAST UPDATED 2024-04-11 23:58:29 UTC
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