Indiana
Professional Licensing Agency
Bruce F. Becker
Controlled Substance Registration - Dentist
License number
12009200B
Date granted
05/23/1995
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Lighthouse Dental, 556 North Oak Road, Plymouth IN 46563-1664
indianalicensing.org
ID 5118861
LAST UPDATED 2024-03-19 05:50:12 UTC
LAST UPDATED 2024-03-19 05:50:12 UTC
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