Indiana
Professional Licensing Agency
Sheila Rao
Controlled Substance Registration - Dentist
License number
12010686B
Date granted
10/25/2004
Date expires
03/01/2008
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
American Family Pediatric Dentistry, 3120 Blackiston Mill Road, New Albany IN 47150
indianalicensing.org
ID 5115649
LAST UPDATED 2024-04-03 04:57:41 UTC
LAST UPDATED 2024-04-03 04:57:41 UTC
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