Indiana
Professional Licensing Agency
Scott Ivan Lutz
Controlled Substance Registration - Dentist
License number
12008804B
Date granted
10/29/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
706 N MAIN STREET PO BOX 615, MONTICELLO IN 47960
indianalicensing.org
ID 5113145
LAST UPDATED 2024-04-04 19:05:23 UTC
LAST UPDATED 2024-04-04 19:05:23 UTC
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