License holder summary

Vijaya Lakshmi Bathina is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Vijaya Lakshmi Bathina is Aspen Dental Orchard Crossing, 4716 Illinois Road, Fort Wayne IN 46804. This licensed professional license is not current. The license was granted 09/28/2012 and expired on 03/01/2014.

Indiana

Professional Licensing Agency

Vijaya Lakshmi Bathina
Controlled Substance Registration - Dentist
License number
12011883B
Date granted
09/28/2012
Date expires
03/01/2014
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
Aspen Dental Orchard Crossing, 4716 Illinois Road, Fort Wayne IN 46804
indianalicensing.org
ID 5096441
LAST UPDATED 2026-04-12 09:52:11 UTC

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