Indiana
Professional Licensing Agency
Bruce A. Mater
Controlled Substance Registration - Dentist
License number
12007886B
Date granted
06/14/1980
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
2948 Hwy 62 Bldg.A, Jeffersonville IN 47130
indianalicensing.org
ID 5105187
LAST UPDATED 2024-04-18 08:41:26 UTC
LAST UPDATED 2024-04-18 08:41:26 UTC
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