Indiana
Professional Licensing Agency
Theodoros Aneziris
Controlled Substance Registration - Dentist
License number
12010536B
Date granted
07/29/2004
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
8001 Broadway Suite 401, Merrillville IN 46410
indianalicensing.org
ID 5111412
LAST UPDATED 2024-02-11 19:32:51 UTC
LAST UPDATED 2024-02-11 19:32:51 UTC
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