Indiana
Professional Licensing Agency
Braden William Willman
Controlled Substance Registration - Dentist
License number
12010287B
Date granted
07/11/2000
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1090 South State Road 135, Greenwood IN 46143-7367
indianalicensing.org
ID 5099019
LAST UPDATED 2024-03-02 12:58:30 UTC
LAST UPDATED 2024-03-02 12:58:30 UTC
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