Indiana
Professional Licensing Agency
Brian Eric Blough
Controlled Substance Registration - Dentist
License number
12009617B
Date granted
12/17/1993
Date expires
03/01/2010
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
12980 State Road 23, Suite F, Granger IN 46530
indianalicensing.org
ID 5098291
LAST UPDATED 2024-01-31 22:40:17 UTC
LAST UPDATED 2024-01-31 22:40:17 UTC
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