Indiana
Professional Licensing Agency
Richelle Caluag Orman
Controlled Substance Registration - Dentist
License number
12011683B
Date granted
06/30/2011
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1852 Bluffton Road, Fort Wayne IN 46809
indianalicensing.org
ID 5125267
LAST UPDATED 2024-01-20 02:25:38 UTC
LAST UPDATED 2024-01-20 02:25:38 UTC
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