Indiana
Professional Licensing Agency
Brian Taylor Lee
Controlled Substance Registration - Dentist
License number
12011751B
Date granted
01/16/2012
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1105 Clifty Drive, Madison IN 47250
indianalicensing.org
ID 5109594
LAST UPDATED 2024-04-18 18:44:35 UTC
LAST UPDATED 2024-04-18 18:44:35 UTC
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