Indiana
Professional Licensing Agency
Nisha Bhayani
Controlled Substance Registration - Dentist
License number
12011705B
Date granted
07/07/2011
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Heartland Crossing Dental Care, 8190 Windfall Lane, Suite A, Camby IN 46113
indianalicensing.org
ID 5085036
LAST UPDATED 2024-03-30 02:18:58 UTC
LAST UPDATED 2024-03-30 02:18:58 UTC
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