Indiana
Professional Licensing Agency
Tracy Dirk Sapp
Controlled Substance Registration - Dentist
License number
12009042B
Date granted
07/13/1988
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
10518 South State Road 39, Clayton IN 46118
indianalicensing.org
ID 5087244
LAST UPDATED 2024-02-19 19:18:45 UTC
LAST UPDATED 2024-02-19 19:18:45 UTC
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