Indiana
Professional Licensing Agency
John Whitcomb Green
Controlled Substance Registration - Dentist
License number
12007024B
Date granted
05/31/1986
Date expires
03/01/2014
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
140 North 10th Street, Noblesville IN 46060
indianalicensing.org
ID 5116808
LAST UPDATED 2024-03-11 14:39:41 UTC
LAST UPDATED 2024-03-11 14:39:41 UTC
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