Indiana
Professional Licensing Agency
Moody Wasif
Controlled Substance Registration - Dentist
License number
12011396B
Date granted
05/06/2010
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
13955 Morse St. Cedar Lake, Cedar Lake IN 46303
indianalicensing.org
ID 5100906
LAST UPDATED 2024-02-04 02:21:50 UTC
LAST UPDATED 2024-02-04 02:21:50 UTC
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