Indiana
Professional Licensing Agency
Rebecca Jennifer DeLa Rosa
Controlled Substance Registration - Dentist
License number
12009226B
Date granted
06/29/1990
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
7318 East US 36 Suite 100, Avon IN 46123
indianalicensing.org
ID 5082055
LAST UPDATED 2024-01-13 01:28:41 UTC
LAST UPDATED 2024-01-13 01:28:41 UTC
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