Indiana
Professional Licensing Agency
Thomas Joseph Pietrusinski
Controlled Substance Registration - Dentist
License number
12010295B
Date granted
12/06/2000
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
905 Ridge Road, Munster IN 46321-1703
indianalicensing.org
ID 5115098
LAST UPDATED 2024-02-15 16:33:57 UTC
LAST UPDATED 2024-02-15 16:33:57 UTC
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