Indiana
Professional Licensing Agency
Brian D. Eberhart
Controlled Substance Registration - Dentist
License number
12008569B
Date granted
07/30/1986
Date expires
03/01/2000
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
618 North Main Street, Mishawaka IN 46545
indianalicensing.org
ID 5112321
LAST UPDATED 2024-03-12 19:39:04 UTC
LAST UPDATED 2024-03-12 19:39:04 UTC
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