Indiana
Professional Licensing Agency
Thomas A Bunner
Controlled Substance Registration - Dentist
License number
12008775B
Date granted
07/25/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
8717 Crestfield Court, Fort Wayne IN 46835-9655
indianalicensing.org
ID 5096094
LAST UPDATED 2024-03-19 19:37:12 UTC
LAST UPDATED 2024-03-19 19:37:12 UTC
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