Indiana
Professional Licensing Agency
Praveena Aluri
Controlled Substance Registration - Dentist
License number
12011908B
Date granted
03/19/2013
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Small Smiles of Fort Wayne, LLC, 7524 South Anthony Boulevard, Fort Wayne IN 46816
indianalicensing.org
ID 5095597
LAST UPDATED 2024-03-20 12:02:59 UTC
LAST UPDATED 2024-03-20 12:02:59 UTC
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