Indiana
Professional Licensing Agency
Scott Howell Polizotto
Controlled Substance Registration - Dentist
License number
12006133B
Date granted
10/31/1985
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
809 Wall Street, Valparaiso IN 46383
indianalicensing.org
ID 5126394
LAST UPDATED 2024-05-02 20:06:35 UTC
LAST UPDATED 2024-05-02 20:06:35 UTC
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