Colleen Ann Baines
Controlled Substance Registration - Dentist
Indiana 12010256C Expired
This Indiana license was held by Colleen Ann Baines. The license is no longer active. It was granted on 04/02/2003 and expired on 03/01/2006
LICENSE DETAILS
- License Number: 12010256C
- Category: CSR-Dentist
- Status: Expired
- Date Granted: 04/02/2003 (over 23 years ago)
- Expiry Date: 03/01/2006 (over 20 years ago)
LOCATIONS
A Address
Ladd Dental Group, 1445 West Hoosier Blvd., Peru IN 46970-3727