Indiana
Professional Licensing Agency
Thomas William Surber
Controlled Substance Registration - Dentist
License number
12007670B
Date granted
06/30/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Chapel Centre, 7891 Broadway, Merrillville IN 46410
indianalicensing.org
ID 5111481
LAST UPDATED 2024-03-08 14:28:45 UTC
LAST UPDATED 2024-03-08 14:28:45 UTC
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