Indiana
Professional Licensing Agency
Miranda Schoof Dageenakis
Controlled Substance Registration - Dentist
License number
12010067B
Date granted
04/12/1999
Date expires
03/01/2006
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
1200 SOUTH WOODLAND AVENUE SUITE B, Michigan City IN 46360
indianalicensing.org
ID 5111897
LAST UPDATED 2024-04-15 02:52:27 UTC
LAST UPDATED 2024-04-15 02:52:27 UTC
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