Indiana
Professional Licensing Agency
David Michael Brilliandt
Controlled Substance Registration - Dentist
License number
12008553B
Date granted
02/28/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
220 Bloomingdale Drive, Bristol IN 46507
indianalicensing.org
ID 5084115
LAST UPDATED 2024-03-11 23:02:10 UTC
LAST UPDATED 2024-03-11 23:02:10 UTC
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