Indiana
Professional Licensing Agency
William M. Record
Controlled Substance Registration - Dentist
License number
12007378B
Date granted
06/30/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
314 N. Kingston Rd., P.O. Box 698, Plymouth IN 46563
indianalicensing.org
ID 5119021
LAST UPDATED 2024-04-04 13:43:55 UTC
LAST UPDATED 2024-04-04 13:43:55 UTC
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