Indiana
Professional Licensing Agency
Samuel Louis Corey
Controlled Substance Registration - Dentist
License number
12009461B
Date granted
07/23/1992
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
10216 Dupont Circle Drive East, Fort Wayne IN 46825-1611
indianalicensing.org
ID 5095873
LAST UPDATED 2024-02-25 03:01:21 UTC
LAST UPDATED 2024-02-25 03:01:21 UTC
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