Indiana
Professional Licensing Agency
Tamara Sue Eaton
Controlled Substance Registration - Dentist
License number
12009857B
Date granted
07/16/1996
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1213 East Coolspring Avenue, Michigan City IN 46360-6319
indianalicensing.org
ID 5112015
LAST UPDATED 2024-04-21 09:53:27 UTC
LAST UPDATED 2024-04-21 09:53:27 UTC
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