Indiana
Professional Licensing Agency
Shirley Souza Ferreira
Controlled Substance Registration - Dentist
License number
12011892B
Date granted
01/14/2013
Date expires
03/01/2014
Class
Controlled Substance Registration - Dentist
Status
Active
Address
10485 North Michigan Road, Ste 150, Carmel IN 46032
indianalicensing.org
ID 5085934
LAST UPDATED 2024-04-20 16:18:27 UTC
LAST UPDATED 2024-04-20 16:18:27 UTC
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