Indiana
Professional Licensing Agency
Olga Y. Maldonado
Controlled Substance Registration - Dentist
License number
12009575C
Date granted
08/12/2003
Date expires
03/01/2008
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
Mill Creek Family Dental, 3667 Braddock Drive, Suite B, Lafayette IN 47909
indianalicensing.org
ID 5107744
LAST UPDATED 2024-03-29 00:26:46 UTC
LAST UPDATED 2024-03-29 00:26:46 UTC
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