License holder summary

Brian Paul Tate is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Brian Paul Tate is 705 WALNUT ST D, INDIANAPOLIS IN 46202. This licensed professional license is not current. The license was granted 07/19/1995 and expired on 03/01/2000.

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

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