Indiana
Professional Licensing Agency
Philip George Polus
Controlled Substance Registration - Dentist
License number
12008055B
Date granted
07/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1549 SOUTH COURT STREET, STE B, Crown Point IN 46307
indianalicensing.org
ID 5089086
LAST UPDATED 2024-04-17 13:19:18 UTC
LAST UPDATED 2024-04-17 13:19:18 UTC
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