Indiana
Professional Licensing Agency
Shreya Jitendra Patel
Controlled Substance Registration - Dentist
License number
12011709B
Date granted
07/20/2011
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Prestwick Pointe Family Dental Care, 5250 U.S Highway 36 Suite 160, Avon IN 46123
indianalicensing.org
ID 5082120
LAST UPDATED 2024-02-21 11:41:12 UTC
LAST UPDATED 2024-02-21 11:41:12 UTC
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