Indiana
Professional Licensing Agency
Thalia Rambalakos
Controlled Substance Registration - Dentist
License number
12010239B
Date granted
05/11/2000
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Childrens Dental Center, 7863 Broadway, Merrillville IN 46410-5553
indianalicensing.org
ID 5111446
LAST UPDATED 2024-03-28 02:13:20 UTC
LAST UPDATED 2024-03-28 02:13:20 UTC
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