Indiana
Professional Licensing Agency
Scott D. Thole
Controlled Substance Registration - Dentist
License number
12010014B
Date granted
12/16/1997
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
3861 SR 26 East, Suite I, Lafayette IN 47905
indianalicensing.org
ID 5114318
LAST UPDATED 2024-04-14 06:25:44 UTC
LAST UPDATED 2024-04-14 06:25:44 UTC
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