License holder summary

Bradley Glenn Fawcett is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Bradley Glenn Fawcett is 114 FOURTH ST, TIPTON IN 46072. This licensed professional license is not current. The license was granted 07/15/1997 and expired on 03/01/2004.

Indiana

Professional Licensing Agency

Bradley Glenn Fawcett
Controlled Substance Registration - Dentist
License number
12009858B
Date granted
07/15/1997
Date expires
03/01/2004
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
114 FOURTH ST, TIPTON IN 46072
indianalicensing.org
ID 5125463
LAST UPDATED 2024-03-29 11:38:30 UTC

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