Indiana
Professional Licensing Agency
Grady Scott Randall
Controlled Substance Registration - Dentist
License number
12011497B
Date granted
09/27/2010
Date expires
03/01/2014
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
Dentistry Plus, 1516 Lynch Lane, Suite A, Clarksville IN 47129
indianalicensing.org
ID 5086937
LAST UPDATED 2024-05-14 11:08:27 UTC
LAST UPDATED 2024-05-14 11:08:27 UTC
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