Indiana
Professional Licensing Agency
David King Gotwald, III
Controlled Substance Registration - Dentist
License number
12007118B
Date granted
07/21/1989
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
2 East Walnut, Washington IN 47501
indianalicensing.org
ID 5127445
LAST UPDATED 2024-05-10 04:22:04 UTC
LAST UPDATED 2024-05-10 04:22:04 UTC
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