Indiana
Professional Licensing Agency
Tanya L. Long
Controlled Substance Registration - Dentist
License number
12011588B
Date granted
03/21/2011
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Real Choice Dental Implant Center of Kentuckiana, 802 East 10th Street, Jeffersonville IN 47130
indianalicensing.org
ID 5105570
LAST UPDATED 2024-03-08 17:27:21 UTC
LAST UPDATED 2024-03-08 17:27:21 UTC
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