Indiana
Professional Licensing Agency
Rosanne Garza
Controlled Substance Registration - Dentist
License number
12009118B
Date granted
10/03/1989
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
844 N. Cline Avenue, Griffith IN 46319
indianalicensing.org
ID 5099783
LAST UPDATED 2024-04-08 16:22:48 UTC
LAST UPDATED 2024-04-08 16:22:48 UTC
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