Indiana
Professional Licensing Agency
Brian J King
Controlled Substance Registration - Dentist
License number
12009912B
Date granted
11/18/1996
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
25947 County Road 20, Elkhart IN 46517-2301
indianalicensing.org
ID 5090560
LAST UPDATED 2024-04-12 03:22:47 UTC
LAST UPDATED 2024-04-12 03:22:47 UTC
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