Valerie Ann Bastin
Controlled Substance Registration - Dentist
Indiana 12009404B Active
This Indiana license is held by Valerie Ann Bastin. The license is currently active. It was granted on 10/25/1991 and expired on 03/01/2016
LICENSE DETAILS
- License Number: 12009404B
- Category: CSR-Dentist
- Status: Active
- Date Granted: 10/25/1991 (over 33 years ago)
- Expiry Date: 03/01/2016 (about 9 years ago)
LOCATIONS
A Address
216 North Main Street, Tipton IN 46072-1635
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