Indiana
Professional Licensing Agency
Stephen Daniel Regan
Controlled Substance Registration - Dentist
License number
12010562C
Date granted
04/15/2009
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Summit Dental Group, P.C., 10213 Dupont Circle Drive West, Fort Wayne IN 46825-1656
indianalicensing.org
ID 5095950
LAST UPDATED 2024-12-05 04:30:57 UTC
LAST UPDATED 2024-12-05 04:30:57 UTC
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