Indiana
Professional Licensing Agency
Nancy Neal Bolt
Controlled Substance Registration - Dentist
License number
12008249B
Date granted
08/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
307 NORTH GREEN STREET, BROWNSBURG IN 46112
indianalicensing.org
ID 5084607
LAST UPDATED 2024-04-04 13:34:44 UTC
LAST UPDATED 2024-04-04 13:34:44 UTC
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