Indiana
Professional Licensing Agency
Rita G. Patel-Miller
Controlled Substance Registration - Dentist
License number
12011905B
Date granted
08/19/2013
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Beacon Hill Dental, 102 East 107th Avenue, Crown Point IN 46307
indianalicensing.org
ID 5089077
LAST UPDATED 2024-02-29 21:33:16 UTC
LAST UPDATED 2024-02-29 21:33:16 UTC
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