Indiana
Professional Licensing Agency
Nikki Wargo
Controlled Substance Registration - Dentist
License number
12010645B
Date granted
08/11/2004
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1452 E 85th Ave, Merrillville IN 46410
indianalicensing.org
ID 5111246
LAST UPDATED 2024-03-29 22:47:06 UTC
LAST UPDATED 2024-03-29 22:47:06 UTC
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