License holder summary

Bradley Richard Swanson is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Bradley Richard Swanson is 54505 26th Street, Unit E, South Bend IN 46614. This licensed professional license is current. The license was granted 07/13/2004 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Bradley Richard Swanson
Controlled Substance Registration - Dentist
License number
12010670B
Date granted
07/13/2004
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
54505 26th Street, Unit E, South Bend IN 46614
indianalicensing.org
ID 5122726
LAST UPDATED 2024-03-18 11:55:08 UTC

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