Indiana
Professional Licensing Agency
Brian Paul Tate
Controlled Substance Registration - Dentist
License number
12009788B
Date granted
07/19/1995
Date expires
03/01/2000
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
705 WALNUT ST D, INDIANAPOLIS IN 46202
indianalicensing.org
ID 5101641
LAST UPDATED 2024-03-09 23:10:13 UTC
LAST UPDATED 2024-03-09 23:10:13 UTC
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