Indiana
Professional Licensing Agency
Ronald Ray Fulkerson
Controlled Substance Registration - Dentist
License number
12007022B
Date granted
03/01/1988
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
3929 East 3rd Street, Bloomington IN 47401
indianalicensing.org
ID 5083537
LAST UPDATED 2024-02-14 09:11:10 UTC
LAST UPDATED 2024-02-14 09:11:10 UTC
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