Indiana
Professional Licensing Agency
Bradley T. Frederick
Controlled Substance Registration - Dentist
License number
12012118B
Date granted
05/22/2014
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
819 Mount Tabor Rd., New Albany IN 47150
indianalicensing.org
ID 27545918
LAST UPDATED 2024-02-26 12:14:49 UTC
LAST UPDATED 2024-02-26 12:14:49 UTC
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