Indiana
Professional Licensing Agency
Bradley Richard Swanson
Controlled Substance Registration - Dentist
License number
12010670B
Date granted
07/13/2004
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
54505 26th Street, Unit E, South Bend IN 46614
indianalicensing.org
ID 5122726
LAST UPDATED 2024-04-02 09:43:13 UTC
LAST UPDATED 2024-04-02 09:43:13 UTC
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