Indiana
Professional Licensing Agency
Nima Ebrahimi
Controlled Substance Registration - Dentist
License number
12011522B
Date granted
10/08/2010
Date expires
03/01/2014
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
United Dental Centers, 1332 119th Street, Whiting IN 46394
indianalicensing.org
ID 5128237
LAST UPDATED 2024-04-24 20:01:18 UTC
LAST UPDATED 2024-04-24 20:01:18 UTC
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