Indiana
Professional Licensing Agency
Brank B. DeBruhl, Jr.
Controlled Substance Registration - Dentist
License number
12006933B
Date granted
02/22/1988
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
P.O. Box 1056, 130 West Jackson Street, Cicero IN 46034
indianalicensing.org
ID 5086727
LAST UPDATED 2024-03-25 20:30:39 UTC
LAST UPDATED 2024-03-25 20:30:39 UTC
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