Indiana
Professional Licensing Agency
Trinoda G. Radcliffe
Controlled Substance Registration - Dentist
License number
12010399B
Date granted
10/03/2002
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Children's Dental Clinic of Gary, 3506 Village Court, Gary IN 46408
indianalicensing.org
ID 5097660
LAST UPDATED 2024-02-09 06:34:10 UTC
LAST UPDATED 2024-02-09 06:34:10 UTC
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