Indiana
Professional Licensing Agency
Wendell Hall Grassmyer
Controlled Substance Registration - Dentist
License number
12005117B
Date granted
12/31/1985
Date expires
03/01/2012
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
414 E. Main St., Madison IN 47250
indianalicensing.org
ID 5109825
LAST UPDATED 2024-02-08 16:50:56 UTC
LAST UPDATED 2024-02-08 16:50:56 UTC
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