Indiana
Professional Licensing Agency
Steven James Holm
Controlled Substance Registration - Dentist
License number
12007424B
Date granted
10/20/1976
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
3465 AIRPORT ROAD, PORTAGE IN 46368
indianalicensing.org
ID 5119202
LAST UPDATED 2024-03-08 12:51:19 UTC
LAST UPDATED 2024-03-08 12:51:19 UTC
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