Indiana
Professional Licensing Agency
Shweta Patel
Controlled Substance Registration - Dentist
License number
12011583B
Date granted
03/10/2011
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Kool Smiles, 1021 West 5th Avenue, Gary IN 46402
indianalicensing.org
ID 5097671
LAST UPDATED 2024-04-28 15:23:09 UTC
LAST UPDATED 2024-04-28 15:23:09 UTC
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