Indiana
Professional Licensing Agency
Patrick M. Carroll
Controlled Substance Registration - Dentist
License number
12010982E
Date granted
08/07/2012
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Aspen Dental, 2909 County Home Road, Goshen IN 46526
indianalicensing.org
ID 5098020
LAST UPDATED 2024-03-17 15:16:51 UTC
LAST UPDATED 2024-03-17 15:16:51 UTC
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