Indiana
Professional Licensing Agency
Nicole Michelle Guyton
Controlled Substance Registration - Dentist
License number
12012093B
Date granted
04/29/2014
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1021 W 5th Ave, Gary IN 46402
indianalicensing.org
ID 27545629
LAST UPDATED 2024-03-13 17:55:28 UTC
LAST UPDATED 2024-03-13 17:55:28 UTC
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