Indiana
Professional Licensing Agency
Valerie Ann Bastin
Controlled Substance Registration - Dentist
License number
12009404C
Date granted
09/25/1997
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Valerie Bastin, D.D.S., P.C., 107 South Dixon Road, Kokomo IN 46901-5044
indianalicensing.org
ID 5106925
LAST UPDATED 2024-03-08 08:58:52 UTC
LAST UPDATED 2024-03-08 08:58:52 UTC
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