Indiana
Professional Licensing Agency
Randy John Carroll
Controlled Substance Registration - Dentist
License number
12008237B
Date granted
08/31/1986
Date expires
03/01/2014
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
P.O. Box 143, 22 East Washington St., Roachdale IN 46172
indianalicensing.org
ID 5120219
LAST UPDATED 2024-04-02 15:58:50 UTC
LAST UPDATED 2024-04-02 15:58:50 UTC
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