Bolanle M. Balogun
Controlled Substance Registration - Dentist
Indiana 12012131B Active
This Indiana license is held by Bolanle M. Balogun. The license is currently active. It was granted on 08/15/2014 and expired on 03/01/2016
LICENSE DETAILS
- License Number: 12012131B
- Category: CSR-Dentist
- Status: Active
- Date Granted: 08/15/2014 (almost 10 years ago)
- Expiry Date: 03/01/2016 (about 8 years ago)
LOCATIONS
A Address
Aspen Dental, 2505 LaPorte Avenue, Valparaiso IN 46383
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