Indiana
Professional Licensing Agency
Sarah M. Lopez
Controlled Substance Registration - Dentist
License number
12010763B
Date granted
09/09/2005
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Camby Family Dentistry, 8190 Windfall Lane, Camby IN 46113
indianalicensing.org
ID 5085053
LAST UPDATED 2024-03-20 23:50:28 UTC
LAST UPDATED 2024-03-20 23:50:28 UTC
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