Indiana
Professional Licensing Agency
Theresa Ann Gonzalez
Controlled Substance Registration - Dentist
License number
12009666B
Date granted
12/08/1994
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Indiana University, 1121 West Michigan Street, Indianapolis IN 46202-5211
indianalicensing.org
ID 5104568
LAST UPDATED 2024-01-31 22:36:21 UTC
LAST UPDATED 2024-01-31 22:36:21 UTC
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