License holder summary

Rachael D. Gandolph is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Rachael D. Gandolph is Aspen Dental, 331 South State Road 135, Greenwood IN 46142. This licensed professional license is not current. The license was granted 07/25/2008 and expired on 03/01/2010.

Indiana

Professional Licensing Agency

Rachael D. Gandolph
Controlled Substance Registration - Dentist
License number
12011087B
Date granted
07/25/2008
Date expires
03/01/2010
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
Aspen Dental, 331 South State Road 135, Greenwood IN 46142
indianalicensing.org
ID 5099415
LAST UPDATED 2024-03-27 16:51:57 UTC

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