Indiana
Professional Licensing Agency
Misty Gail Gretencord
Controlled Substance Registration - Dentist
License number
12011005B
Date granted
05/10/2011
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Kool smiles, 4315 Commerce Drive, Lafayette IN 47905
indianalicensing.org
ID 5107735
LAST UPDATED 2024-02-05 19:27:19 UTC
LAST UPDATED 2024-02-05 19:27:19 UTC
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