Theresa Ann Gonzalez

Controlled Substance Registration - Dentist

Indiana  12009666B   Active

This Indiana license is held by Theresa Ann Gonzalez. The license is currently active. It was granted on 12/08/1994 and expired on 03/01/2016

LICENSE DETAILS

  • License Number: 12009666B
  • Category: CSR-Dentist
  • Status: Active
  • Date Granted: 12/08/1994 (over 30 years ago)
  • Expiry Date: 03/01/2016 (about 9 years ago)

LOCATIONS

A Address

Indiana University, 1121 West Michigan Street, Indianapolis IN 46202-5211