Indiana
Professional Licensing Agency
Nolan Gant Lathrop
Controlled Substance Registration - Dentist
License number
12010463B
Date granted
03/30/2004
Date expires
03/01/2008
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
Affordable Dentures- Muncie, PC, 5081 W. Hessler Rd., Muncie IN 47304
indianalicensing.org
ID 5114216
LAST UPDATED 2024-02-19 17:05:44 UTC
LAST UPDATED 2024-02-19 17:05:44 UTC
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