Indiana
Professional Licensing Agency
Suzanne Elizabeth Bolyard Allmand
Controlled Substance Registration - Dentist
License number
12011669B
Date granted
06/14/2011
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
457 South Landmark Avenue, Bloomington IN 47403
indianalicensing.org
ID 5083558
LAST UPDATED 2024-02-14 21:31:01 UTC
LAST UPDATED 2024-02-14 21:31:01 UTC
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