Indiana
Professional Licensing Agency
EDWARD EUGENE PACKARD
Controlled Substance Registration - Dentist
License number
12004758B
Date granted
12/31/1985
Date expires
03/01/1994
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
221 S EDDY ST, SOUTH BEND IN 46617
indianalicensing.org
ID 5122910
LAST UPDATED 2024-03-16 16:55:40 UTC
LAST UPDATED 2024-03-16 16:55:40 UTC
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