Indiana
Professional Licensing Agency
Uma D. Peeta
Controlled Substance Registration - Dentist
License number
12010756B
Date granted
10/26/2005
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
800 Lagrange St., West Lafayette IN 47906
indianalicensing.org
ID 5127735
LAST UPDATED 2024-04-01 14:40:05 UTC
LAST UPDATED 2024-04-01 14:40:05 UTC
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