License holder summary

Oksana Petruniw Withey is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Oksana Petruniw Withey is 5222 South East Street, #7, Indianapolis IN 46227. This licensed professional license is current. The license was granted 09/30/1985 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Oksana Petruniw Withey
Controlled Substance Registration - Dentist
License number
12006843B
Date granted
09/30/1985
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
5222 South East Street, #7, Indianapolis IN 46227
indianalicensing.org
ID 5103768
LAST UPDATED 2024-02-23 22:19:37 UTC

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