License holder summary

Rebecca Jennifer DeLa Rosa is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Rebecca Jennifer DeLa Rosa is 7318 East US 36 Suite 100, Avon IN 46123. This licensed professional license is current. The license was granted 06/29/1990 and expired on 03/01/2016.

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

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