Indiana
Professional Licensing Agency
William Earl Burgess
Controlled Substance Registration - Dentist
License number
12006855B
Date granted
04/30/1986
Date expires
03/01/2010
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
498 South County Road 300 East, Brownstown IN 47220
indianalicensing.org
ID 5084684
LAST UPDATED 2024-06-09 07:56:24 UTC
LAST UPDATED 2024-06-09 07:56:24 UTC
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