Indiana
Professional Licensing Agency
Pamela C. Walden
Controlled Substance Registration - Dentist
License number
12010419B
Date granted
12/07/2001
Date expires
03/01/2004
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
PARKVIEW COMMUNITY DENTAL, 338 ERNI AVENUE, New Albany IN 47150
indianalicensing.org
ID 5115503
LAST UPDATED 2024-04-18 10:13:45 UTC
LAST UPDATED 2024-04-18 10:13:45 UTC
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