Indiana
Professional Licensing Agency
Tessa Catherine Creager
Controlled Substance Registration - Dentist
License number
12011483B
Date granted
07/02/2010
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1717 South Calhoun Street, Fort Wayne IN 46802
indianalicensing.org
ID 5096109
LAST UPDATED 2024-03-04 13:46:57 UTC
LAST UPDATED 2024-03-04 13:46:57 UTC
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