Indiana
Professional Licensing Agency
Gerald Ray Funderburk
Controlled Substance Registration - Dentist
License number
12006706B
Date granted
10/31/1985
Date expires
03/01/2000
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
3300 S MAIN ST SUITE D-6, ANDERSON IN 46014
indianalicensing.org
ID 5080676
LAST UPDATED 2024-02-05 06:47:55 UTC
LAST UPDATED 2024-02-05 06:47:55 UTC
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