Indiana
Professional Licensing Agency
Tyrus Ward Campbell
Controlled Substance Registration - Dentist
License number
12008966B
Date granted
10/29/1987
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
931 East 86th Street #207, Indianapolis IN 46240-1852
indianalicensing.org
ID 5104802
LAST UPDATED 2024-04-14 17:30:00 UTC
LAST UPDATED 2024-04-14 17:30:00 UTC
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