Indiana
Professional Licensing Agency
Bradley John Bath
Controlled Substance Registration - Dentist
License number
12008674B
Date granted
08/02/1985
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
531 North Cross Pointe Blvd., Evansville IN 47715-4062
indianalicensing.org
ID 5091450
LAST UPDATED 2024-04-12 15:06:43 UTC
LAST UPDATED 2024-04-12 15:06:43 UTC
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