Indiana
Professional Licensing Agency
Valerie R. Martinsen
Controlled Substance Registration - Dentist
License number
12010973B
Date granted
06/12/2007
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1011 Michigan Avenue, La Porte IN 46350
indianalicensing.org
ID 5107243
LAST UPDATED 2024-03-30 02:50:27 UTC
LAST UPDATED 2024-03-30 02:50:27 UTC
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