Rebecca Jennifer DeLa Rosa
Controlled Substance Registration - Dentist
Indiana 12009226B Active
This Indiana license is held by Rebecca Jennifer DeLa Rosa. The license is currently active. It was granted on 06/29/1990 and expired on 03/01/2016
LICENSE DETAILS
- License Number: 12009226B
- Category: CSR-Dentist
- Status: Active
- Date Granted: 06/29/1990 (about 36 years ago)
- Expiry Date: 03/01/2016 (over 10 years ago)
LOCATIONS
A Address
7318 East US 36 Suite 100, Avon IN 46123
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