Vijaya Lakshmi Bathina
Controlled Substance Registration - Dentist
Indiana 12011883B Expired
This Indiana license was held by Vijaya Lakshmi Bathina. The license is no longer active. It was granted on 09/28/2012 and expired on 03/01/2014
LICENSE DETAILS
- License Number: 12011883B
- Category: CSR-Dentist
- Status: Expired
- Date Granted: 09/28/2012 (over 11 years ago)
- Expiry Date: 03/01/2014 (about 10 years ago)
LOCATIONS
A Address
Aspen Dental Orchard Crossing, 4716 Illinois Road, Fort Wayne IN 46804