Indiana
Professional Licensing Agency
Bruce E. Holder
Controlled Substance Registration - Dentist
License number
12008257B
Date granted
08/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
203 WEST VINE STREET, FORT BRANCH IN 47648
indianalicensing.org
ID 5094051
LAST UPDATED 2024-02-19 22:45:25 UTC
LAST UPDATED 2024-02-19 22:45:25 UTC
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