Indiana
Professional Licensing Agency
Oriana Suh
Controlled Substance Registration - Dentist
License number
12011733B
Date granted
09/23/2011
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
500 North 26th Street, Lafayette IN 47905
indianalicensing.org
ID 5107748
LAST UPDATED 2024-02-08 20:43:15 UTC
LAST UPDATED 2024-02-08 20:43:15 UTC
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