Indiana
Professional Licensing Agency
Janos Thomas Fullop
Controlled Substance Registration - Dentist
License number
12010443B
Date granted
07/25/2002
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Southwind Dental Care, 803 East 4th Street PO Box 673, Mount Vernon IN 47620-2012
indianalicensing.org
ID 5113574
LAST UPDATED 2024-05-09 11:33:08 UTC
LAST UPDATED 2024-05-09 11:33:08 UTC
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