Indiana
Professional Licensing Agency
Troy Nicholas Holder
Controlled Substance Registration - Dentist
License number
12010264B
Date granted
08/09/2000
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
University Park Research, 1220 Medical Park Drive, Building 2, Fort Wayne IN 46825
indianalicensing.org
ID 5096398
LAST UPDATED 2024-03-13 13:29:16 UTC
LAST UPDATED 2024-03-13 13:29:16 UTC
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