Indiana
Professional Licensing Agency
Orbito I. Patangan, Jr.
Controlled Substance Registration - Dentist
License number
12011756B
Date granted
01/09/2012
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Bloomington Pediatric Dentistry, 477 S Landmark Avenue, Bloomington IN 47403-5005
indianalicensing.org
ID 5083374
LAST UPDATED 2024-02-12 21:15:01 UTC
LAST UPDATED 2024-02-12 21:15:01 UTC
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