Indiana
Professional Licensing Agency
Scott John VanSlambrouck
Controlled Substance Registration - Dentist
License number
12011018D
Date granted
03/19/2010
Date expires
03/01/2014
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
1452 East 85th Avenue, Merrillville IN 46410
indianalicensing.org
ID 5111345
LAST UPDATED 2024-02-16 17:27:30 UTC
LAST UPDATED 2024-02-16 17:27:30 UTC
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