Indiana
Professional Licensing Agency
Scott A Grasso
Controlled Substance Registration - Dentist
License number
12009964B
Date granted
08/18/1997
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
3212 West Jackson Street, Muncie IN 47304-4314
indianalicensing.org
ID 5114311
LAST UPDATED 2024-03-02 08:22:07 UTC
LAST UPDATED 2024-03-02 08:22:07 UTC
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