Indiana
Professional Licensing Agency
Suzanne Marie Stolarz
Controlled Substance Registration - Dentist
License number
12009787B
Date granted
08/15/1995
Date expires
03/01/2006
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
Mill Creek Family Dental, 3667 Braddock Drive, Suite #B, Lafayette IN 47909
indianalicensing.org
ID 5107928
LAST UPDATED 2024-02-25 12:17:40 UTC
LAST UPDATED 2024-02-25 12:17:40 UTC
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