Indiana
Professional Licensing Agency
Thomas Talmadge Teel, 2nd
Controlled Substance Registration - Dentist
License number
12009047B
Date granted
05/09/1989
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
4626 West Jefferson Boulevard, Fort Wayne IN 46804
indianalicensing.org
ID 5096168
LAST UPDATED 2024-02-27 17:57:58 UTC
LAST UPDATED 2024-02-27 17:57:58 UTC
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