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
LAST UPDATED 2026-04-12 09:52:11 UTC
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